LLANEICI GONZALEZ CCMA
NPI 1740154475
Substance Abuse Rehabilitation Facility in Indio, CA

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since October 04, 2025

44359 PALM ST, INDIO, CA 92201(760) 342-6616 Get Directions Write a Review

NPPES record last updated: October 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Llaneici Gonzalez Ccma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LLANEICI GONZALEZ CCMA (NPI 1740154475) is an individual substance abuse rehabilitation facility provider in Indio, California, licensed in California (M3C6M8N4) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1740154475

Entity TypeIndividualFemale

Primary Taxonomy324500000X

Provider Legal NameLLANEICI GONZALEZCredential: CCMA

Location Address44359 PALM STIndio, CA 92201-3116

Mailing Address46350 Towne St Spc 57Indio, CA 92201-5925 · (760) 342-6616

Phone(760) 342-6616

Sole ProprietorYes

Enumeration DateOctober 4, 2025

NPPES CertifiedOctober 4, 2025

✔ NPI 1740154475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in CA · M3C6M8N4

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

44359 PALM ST, Indio, CA 92201

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