Jacob Joshua Gomez, MD
Student in an Organized Health Care Education/Training Program in San Francisco, CA. Individual provider (NPI-1).
NPI number1164060935
StatusActive
Last updated in NPPESApr 21, 2024
Details
- NPI
- 1164060935
- Entity type
- Individual (NPI-1)
- Name
- Jacob Joshua Gomez
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2019
- Certification date
- Apr 21, 2024
- Last updated
- Apr 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1001 Potrero Ave Bldg 80-83San Francisco, CA 94110-3518
Phone 628-206-5252
Mailing address
1001 Potrero Ave Bldg 80-83San Francisco, CA 94110-3518
Phone 628-206-5252
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