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

Omar Antonio Gonzalez, MPSS

Individual provider Peer Specialist · NPI 1023935111

Omar Antonio Gonzalez, MPSS is a Peer Specialist in Los Angeles, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

840 N Avenue 66
Los Angeles, CA 90042-1508
Phone: (626) 395-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-SVNAQZ (CA)

Record details

NPI number1023935111
Entity typeIndividual (Type 1)
GenderMale
Credentials MPSS
Sole proprietorNo
NPI enumeratedJune 30, 2026
Last updated in NPPESJune 30, 2026
Certification dateJuly 1, 2026

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