Paul Cesar Gonzalez Hernandez | Santa Rosa, CA • PECOS Search

Paul Cesar Gonzalez Hernandez

Counselor

Behavioral Health & Social Service Providers

1207 Cleveland Ave., Santa Rosa, CA 95401

PECOS Enrollment

Based on the most recent information from CMS, provider Paul Cesar Gonzalez Hernandez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1003206293
Provider Type
Individual
Full Name
Gonzalez Hernandez, Paul Cesar
Gender
Male

Sole Proprietor
No
Enumeration Date
1/27/2015
Last Updated
2/24/2015

Contact Information

Practice Location

1207 Cleveland Ave., Santa Rosa, CA 95401

Unlisted Fax

Mailing Location

PO Box 2587, Santa Rosa, CA 95405

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer