| Doctor Name: | MR. SAMUEL GREGORY GONZALEZ |
| NPI Number: | 1467584268 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. MFT |
| License Number: | 42788 |
| Business Practice Address: | 1317 Huntington Dr South Pasadena, CA - 910304511 |
| Business Phone Number: | 3233445541 |
| Business Fax Number: | 3233445550 |
| Mailing Address: | 595 E Colorado Blvd, Suite 329 PASADENA |
| State: | CA |
| Postal Code: | 911012039 |
| Phone Number: | 8183245969 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 03/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | 42788 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |