Johanna Gonzalez, is a
Case Manager/care Coordinator based in Lake Elsinore, California. Johanna Gonzalez is licensed to practice in * (Not Available) (license number ) and her current practice location is
265 San Jacinto River Rd, Suite 107, Lake Elsinore, California. She can be reached at her office (for appointments etc.) via phone at
(951) 674-9243.
NPI number for Johanna Gonzalez is 1356888101 and her current mailing address is 265 San Jacinto River Rd, Suite 107, Lake Elsinore, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356888101.
Healthcare Provider's Profile
| Full Name | Johanna Gonzalez |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 265 San Jacinto River Rd, Lake Elsinore, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356888101
- Provider Enumeration Date: 01/31/2017
- Last Update Date: 07/28/2023
Medical Identifiers
Medical identifiers for Johanna Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356888101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Johanna 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 |
|---|
Johanna Gonzalez,
265 San Jacinto River Rd, Suite 107,
Lake Elsinore, CA 92530-4400
Ph: (951) 674-9243 | Johanna Gonzalez,
265 San Jacinto River Rd, Suite 107,
Lake Elsinore, CA 92530-4400
Ph: (951) 674-9243 |
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