Vived Gonzalez | |
31473 Rancho Viejo Rd Ste 102 San Juan Capistrano CA 92675-1862 | |
(949) 200-7723 | |
(949) 281-5243 |
Full Name | Vived Gonzalez |
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Speciality | Marriage & Family Therapist |
Location | 31473 Rancho Viejo Rd Ste 102, San Juan Capistrano, California |
Authorized Official Name and Position | Vived Marie Gonzalez (FOUNDER) |
Authorized Official Contact | 9492007723 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vived Gonzalez 31473 Rancho Viejo Rd Ste 102 San Juan Capistrano CA 92675-1862 Ph: (949) 200-7723 | Vived Gonzalez 31473 Rancho Viejo Rd Ste 102 San Juan Capistrano CA 92675-1862 Ph: (949) 200-7723 |
NPI Number | 1497397442 |
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Provider Enumeration Date | 10/10/2019 |
Last Update Date | 09/07/2023 |
Certification Date | 09/07/2023 |
Identifier | Type | State | Issuer |
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1497397442 | NPI | - | NPPES |
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