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

Martin Vidal Gonzalez

Individual provider Registered Nurse · NPI 1619784279

Martin Vidal Gonzalez is a Registered Nurse in Pasadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

2900 E Del Mar Blvd
Pasadena, CA 91107-4375
Phone: (818) 331-0910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95177494 (CA)

Record details

NPI number1619784279
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address13300 Del Sur St, San Fernando, CA 91340-2214

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