Most Relevant Information
Provider Data
| NPI Number: | 1003208042 |
| Provider Name: | MOISES GOMEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/27/2015 |
| Last Updated: | 02/27/2015 |
Provider Practice Location
210 S DE LACEY AVE
SUITE 110
PASADENA
CA
911052048
Practice Location Phone/Fax
| Phone: | 6263957100 |
| Fax: |
Provider Mailing Location
210 S DE LACEY AVE
SUITE 110
PASADENA
CA
911052048
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |