| Mr Gabriel Jesus Gonzalez, | |
|
12139 Mount Vernon Ave Ste 110, Grand Terrace, CA 92313-5500 | |
| (909) 883-5069 | |
| (909) 783-4288 |
| Full Name | Mr Gabriel Jesus Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 12139 Mount Vernon Ave Ste 110, Grand Terrace, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497304422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 297290 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Provider Name | Total Care Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831441054 PECOS PAC ID: 9830341767 Enrollment ID: O20131017001909 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gabriel Jesus Gonzalez, 1837 Fruitvale Ave, Unit B, El Monte, CA 91733-4103 Ph: (909) 883-5069 | Mr Gabriel Jesus Gonzalez, 12139 Mount Vernon Ave Ste 110, Grand Terrace, CA 92313-5500 Ph: (909) 883-5069 |
Dr. Joshua Stephen Young, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23250 Glendora Dr, Grand Terrace, CA 92313 Phone: 213-309-4310 | |
Dr. Brittney Lynn Singh Young, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23250 Glendora Dr, Grand Terrace, CA 92313 Phone: 909-553-4568 | |
Pablo Mleziva, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12139 Mount Vernon Ave Ste 110, Grand Terrace, CA 92313 Phone: 909-370-3396 | |
Cheong Kim, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313 Phone: 909-370-3396 | |
Christian Hernandez Aniag, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23070 Siskin Ct, Grand Terrace, CA 92313 Phone: 909-953-6713 | |
Mr. Richard Charles Ortiz, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 22908 Wren St, Grand Terrace, CA 92313 Phone: 951-990-6578 Fax: 909-614-7049 |