Luisana Gomez, Physician assistant
Physician Assistant, Medical in Monterey Park, CA. Individual provider (NPI-1).
NPI number1275836249
StatusActive
Last updated in NPPESFeb 29, 2012
Details
- NPI
- 1275836249
- Entity type
- Individual (NPI-1)
- Name
- Luisana Gomez
- Credential
- Physician assistant
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2010
- Last updated
- Feb 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA20958 | CA | Yes |
Practice location
941 S Atlantic BlvdSuite 101
Monterey Park, CA 91754-4722
Phone 626-458-8401 · Fax 626-458-5606
Mailing address
629 W Vermont AveApt 14b
Anaheim, CA 92805-5054
Phone 951-367-9631
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