Mr Ed Gonzalez, is a
Case Manager/care Coordinator based in Chula Vista, California. Mr Ed Gonzalez is licensed to practice in * (Not Available) (license number ) and his current practice location is
855 3rd Ave Ste 1110, Chula Vista, California. He can be reached at his office (for appointments etc.) via phone at
(619) 934-5770.
NPI number for Mr Ed Gonzalez is 1700324878 and his current mailing address is 855 3rd Ave Ste 1110, Chula Vista, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700324878.
Healthcare Provider's Profile
| Full Name | Mr Ed Gonzalez |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 855 3rd Ave Ste 1110, Chula Vista, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700324878
- Provider Enumeration Date: 02/08/2017
- Last Update Date: 09/30/2019
Medical Identifiers
Medical identifiers for Mr Ed Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700324878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | 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. Mr Ed 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 |
|---|
Mr Ed Gonzalez,
855 3rd Ave Ste 1110,
Chula Vista, CA 91911-1350
Ph: (619) 934-5770 | Mr Ed Gonzalez,
855 3rd Ave Ste 1110,
Chula Vista, CA 91911-1350
Ph: (619) 934-5770 |
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