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Jose Luis Gonzalez III

Rehabilitation Practitioner in El Centro, CA. Individual provider (NPI-1).

NPI number1700769593
StatusActive
Last updated in NPPESMar 18, 2026

Details

NPI
1700769593
Entity type
Individual (NPI-1)
Name
Jose Luis Gonzalez III
Sex
Male
Sole proprietor
No
Enumeration date
Jul 29, 2025
Certification date
Mar 18, 2026
Last updated
Mar 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner–CAYes

Practice location

202 N 8th St
El Centro, CA 92243-2302

Phone 442-265-1529

Mailing address

202 N 8th St
El Centro, CA 92243-2302

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