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Physician Compare National (NPI:1790969970)

HEALTHCARE PROVIDER: BRIAN PIZARRO GONZALES D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1790969970
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7719102797
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20140707002068
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GONZALES
Individual professional last name
Provider First Name BRIAN
Individual professional first name
Provider Middle Name P
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name LOS ANGELES COLLEGE OF CHIROPRACTIC
Individual professional's medical school
Graduation Year 2006
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 PHYSICAL MEDICINE AND REHABILITATION
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties PHYSICAL MEDICINE AND REHABILITATION
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 2200 HAMNER AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 100
Group Practice or individual's line 2 address
City NORCO
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 928602673
Group Practice or individual's zip code (9 digits when available)
Phone Number 9512783333
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment M

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