Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa Lee Gonzalez

Individual provider Pharmacist · NPI 1659866473

Carissa Lee Gonzalez is a Pharmacist in Venice, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
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Practice location Address checks out

119 Lincoln Blvd
Venice, CA 90291-2807
Phone: (310) 392-3983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 42171 (CA)

Record details

NPI number1659866473
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2018
Last updated in NPPESJune 25, 2018
Mailing address119 Lincoln Blvd, Venice, CA 90291-2807

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