Jonathan Anthony Gonzalez, MS, RDN, LD | |
120 San Lucar Ct, Sunnyvale, CA 94086-5213 | |
(855) 816-7705 | |
Not Available |
Full Name | Jonathan Anthony Gonzalez |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 120 San Lucar Ct, Sunnyvale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1831760578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DT84048 (Texas) | Primary |
Provider Name | Ihealth Labs Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710514476 PECOS PAC ID: 9335570779 Enrollment ID: O20200519000800 |
Mailing Address | Practice Location Address |
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Jonathan Anthony Gonzalez, MS, RDN, LD 3700 Kingwood Dr Apt 1124, Kingwood, TX 77339-3722 Ph: (832) 318-9160 | Jonathan Anthony Gonzalez, MS, RDN, LD 120 San Lucar Ct, Sunnyvale, CA 94086-5213 Ph: (855) 816-7705 |
Mrs. Rebecca Elizabeth Porthouse, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 555 E Washington Ave, Apt 1106, Sunnyvale, CA 94086 Phone: 408-326-9403 | |
Mr. Kevin Lee Rogers, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1085 Tasman Dr Spc 685, Sunnyvale, CA 94089 Phone: 408-469-1630 | |
Li Wang, PHD, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 San Lucar Ct, Sunnyvale, CA 94086 Phone: 855-816-7705 | |
Chenyuan Wang, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 San Lucar Ct, Sunnyvale, CA 94086 Phone: 855-816-7705 | |
Hang Xu, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 San Lucar Ct, Sunnyvale, CA 94086 Phone: 979-422-5821 | |
Eshan Dandekar, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 San Lucar Ct, Sunnyvale, CA 94086 Phone: 855-816-7705 | |
Geeta Glasser, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 401 Old San Francisco Rd, Sunnyvale, CA 94086 Phone: 408-739-6000 |