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

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