Gerardo Gomez
Rehabilitation Practitioner in Gardena, CA. Individual provider (NPI-1).
NPI number1003000100
StatusActive
Last updated in NPPESJan 19, 2024
Details
- NPI
- 1003000100
- Entity type
- Individual (NPI-1)
- Name
- Gerardo Gomez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2007
- Certification date
- Jan 19, 2024
- Last updated
- Jan 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
108 W Victoria StGardena, CA 90248-3523
Phone 310-715-2020
Mailing address
680 S Wilton PlLos Angeles, CA 90005-3200
Phone 213-365-7400 · Fax 213-383-1280
Other practice locations
680 S Wilton Pl
Los Angeles, CA 90005-3200
Los Angeles, CA 90005-3200
Phone 213-365-7400 · Fax 213-383-1280
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