Jacqueline Gonzales, is a
Licensed Psychiatric Technician based in El Monte, California. Jacqueline Gonzales is licensed to practice in California (license number 32511) and her current practice location is
9864 Baldwin Place, El Monte, California. She can be reached at her office (for appointments etc.) via phone at
(626) 433-1311.
NPI number for Jacqueline Gonzales is 1457554164 and her current mailing address is 23301 Quail Summit Drive, Diamond Bar, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457554164.
Provider's Profile
Full Name | Jacqueline Gonzales |
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Gender | Female |
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Speciality | Licensed Psychiatric Technician |
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Location | 9864 Baldwin Place, El Monte, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457554164
- Provider Enumeration Date: 06/08/2007
- Last Update Date: 02/04/2019
Medical Identifiers
Medical identifiers for Jacqueline Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457554164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 95160427 (California) | Secondary |
167G00000X | Licensed Psychiatric Technician | 32511 (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. Jacqueline Gonzales 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 |
Jacqueline Gonzales, 23301 Quail Summit Drive, Diamond Bar, CA 91765 Ph: () - | Jacqueline Gonzales, 9864 Baldwin Place, El Monte, CA 91731 Ph: (626) 433-1311 |
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