Gonzalez, Gabriel Jesus

Gonzalez, Gabriel Jesus is an individual health care provider with primary practice located at 12139 Mount Vernon Ave Ste 110 , Grand Terrace CA 92313-5500. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gonzalez, Gabriel Jesus can be contacted via phone (909) 883-5069.

Contact Information

Primary practice address
12139 Mount Vernon Ave Ste 110 Grand Terrace CA 92313-5500
Phone: (909) 883-5069
Fax: (909) 783-4288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 297290 California

Profile Details

NPI number 1497304422
LBN Legal business name Gonzalez, Gabriel Jesus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2019
Last updated Dec 6th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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