MRS. KALESHA GONZALEZ GONZALEZ IDMT
NPI 1881968030
Military Health Care Provider - Independent Duty Medical Technicians in Torrance, CA

Active since March 06, 2012
21118 AMIE AVENUE, TORRANCE, CA 90503(310) 707-6453 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Military Health Care Provider
  • Independent Duty Medical Technicians

About KALESHA GONZALEZ

This page provides the complete NPI Profile along with additional information for Kalesha Gonzalez, a provider established in Torrance, California with a medical specialization in Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1881968030 assigned on March 2012. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1881968030 Verify this NPI
Provider Name
MRS. KALESHA GONZALEZ GONZALEZ IDMT
Gender
Female
Entity Type
Individual
Location Address
21118 AMIE AVENUE TORRANCE, CA 90503
Location Phone
(310) 707-6453
Mailing Address
21118 AMIE AVENUE TORRANCE, CA 90503
Mailing Phone
(310) 707-6453
Is Sole Proprietor?
No
Enumeration Date
03-06-2012
Last Update Date
03-06-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider Independent Duty Medical Technicians

Taxonomy Code
1710I1003X
Type
Other Service Providers
Taxonomy Description
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881968030, enumerated as an "individual" on March 06, 2012.

The provider is located at 21118 AMIE AVENUE TORRANCE, CA 90503 and the phone number is (310) 707-6453.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.