Gina Gonzalez, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT47530 Issued in CA

Practice address

4160 Grand View Blvd
Los Angeles, CA 90066-5214

Phone

(310) 751-1167

Fax

(310) 397-5827

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Gina Gonzalezreyna Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1093830614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 OLD HARBOR LN APT 101",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927323",
            "telephone_number": "310-751-1167",
            "fax_number": "310-397-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 GRAND VIEW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665214",
            "telephone_number": "310-751-1167",
            "fax_number": "310-397-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "GINA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT47530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "GONZALEZREYNA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fatima Gonzalez
• Francisco Gonzalez
• Frank Gonzalez
• Gabriela Gonzalez
• Gerardo Gonzalez
• Giovanna Gonzalez
• Gisela Gonzalez, PA-C
• Gissel Gonzalez
• Greggory Gonzalez
• Gregory Samuel Gonzalez

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.