Most Relevant Information
Provider Data
NPI Number: | 1003000100 |
Provider Name: | GERARDO GOMEZ |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 08/31/2007 |
Last Updated: | 01/19/2024 |
Provider Practice Location
108 W VICTORIA ST
GARDENA
CA
902483523
Practice Location Phone/Fax
Phone: | 3107152020 |
Fax: |
Provider Mailing Location
680 S WILTON PL
LOS ANGELES
CA
900053200
Provider Mailing Phone/Fax
Phone: | 2133657400 |
Fax: | 2133831280 |