Angelina Gonzalez, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

32923 Issued in CA

Practice address

24328 Vermont Ave Ste 318
Harbor City, CA 90710-2314

Phone

(424) 250-9615

NPI assigned

Oct 13, 2017

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

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": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1386155679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24328 VERMONT AVE STE 318",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102314",
            "telephone_number": "424-250-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24328 VERMONT AVE STE 318",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102314",
            "telephone_number": "424-250-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANGELINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "32923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casper Glenn, M.D.
• Nioosha Godsi, MD
• Reza Zane Goharderakhshan, MD
• Sarah Gong
• Julia S. Gonzales, NP
• Blanca Estela Gonzalez, LCSW
• Elaine Dizon Gonzalez, P.T.
• Evangelina Gonzalez, M.D.
• Grant Shandler, DDS, Inc.
• David A. Green, MD

• Speech-Language Pathologist in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.