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NPI Code Detail

MEDICARE: LUIS A GONZALEZ D.C.

MEDICARE: LUIS A GONZALEZ D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NI0013XIndependent Medical Examiner Chiropractor998706CA
2111NS0005XSports Physician Chiropractor29860CA
3111N00000XChiropractorDC29860CA

General Provider Information

NPI Number : 1346265873
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS A GONZALEZ D.C.
Provider Business Mailing Address
First Line : 36101 BOB HOPE DR STE A
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-2001
Country : US
Telephone Number : 760-321-1315
Fax Number : 760-321-1094
Provider Business Practice Location Address
First Line : 36101 BOB HOPE DR STE A
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-2001
Country : US
Telephone Number : 760-321-1315
Fax Number : 760-321-1094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 03/04/2026

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Directions to “ LUIS A GONZALEZ D.C.” Practice Location

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