Keanu Gonzales
NPI #1083589154 in Newport Beach, California
Provider Information
- NPI Number
- 1083589154
- Entity Type
- Individual
- Name
- Keanu Gonzales
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 8, 2025
- Last Updated
- Oct 8, 2025
Practice Location
- Address
- 1151 DOVE ST
- City
- Newport Beach
- State
- California
- ZIP Code
- 92660-2840
- Phone
- (909) 248-3315
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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