Provider Demographics
NPI:1023704210
Name:LEMUS GONZALEZ, MARIA (MSN, RN, CPHQ)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LEMUS GONZALEZ
Suffix:
Gender:F
Credentials:MSN, RN, CPHQ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8348 OCEAN VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-2845
Mailing Address - Country:US
Mailing Address - Phone:562-652-0468
Mailing Address - Fax:
Practice Address - Street 1:350 S FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90071-1102
Practice Address - Country:US
Practice Address - Phone:562-652-0468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA557714163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care