Dr Gary Peter-james Van Lue Gonzalez, DC, MD is a
Student In An Organized Health Care Education/training Program based in Hemet, California. Dr Gary Peter-james Van Lue Gonzalez is licensed to practice in California (license number PTL) and his current practice location is
1117 E Devonshire Ave, Hemet, California. He can be reached at his office (for appointments etc.) via phone at
(951) 791-1111.
NPI number for Dr Gary Peter-james Van Lue Gonzalez is 1790032571 and his current mailing address is 1117 E Devonshire Ave, Hemet, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790032571.
Healthcare Provider's Profile
| Full Name | Dr Gary Peter-james Van Lue Gonzalez |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1117 E Devonshire Ave, Hemet, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790032571
- Provider Enumeration Date: 08/10/2012
- Last Update Date: 03/28/2023
Medical Identifiers
Medical identifiers for Dr Gary Peter-james Van Lue Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790032571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC32385 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | PTL (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary Peter-james Van Lue Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gary Peter-james Van Lue Gonzalez, DC, MD
1117 E Devonshire Ave,
Hemet, CA 92543-3083
Ph: (951) 652-2811 | Dr Gary Peter-james Van Lue Gonzalez, DC, MD
1117 E Devonshire Ave,
Hemet, CA 92543-3083
Ph: (951) 791-1111 |
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