Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vladimr Adan Maza Gonzalez, N/A

Individual provider Prevention Professional · NPI 1154215077

Vladimr Adan Maza Gonzalez, N/A is a Prevention Professional in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

1481 Windsor Dr
San Bernardino, CA 92404-5416
Phone: (909) 361-6470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence NA (CA)

Record details

NPI number1154215077
Entity typeIndividual (Type 1)
GenderMale
Credentials N/A
Sole proprietorYes
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

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