Ralph Gongora
NPI #1245767342 in La Puente, California
Provider Information
- NPI Number
- 1245767342
- Entity Type
- Individual
- Name
- Ralph Gongora
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 19, 2017
- Last Updated
- May 19, 2017
Practice Location
- Address
- 15229 E. AMAR ROAD
- City
- La Puente
- State
- California
- ZIP Code
- 91744
- Phone
- (626) 855-5090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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