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Luis Alejandro Gomez, MS, RDN

Dietitian, Registered in Thousand Oaks, CA. Individual provider (NPI-1).

NPI number1437726668
StatusActive
Last updated in NPPESJun 7, 2021

Details

NPI
1437726668
Entity type
Individual (NPI-1)
Name
Mr. Luis Alejandro Gomez
Credential
MS, RDN
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 7, 2021
Certification date
Jun 7, 2021
Last updated
Jun 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86148608CAYes

Practice location

270 E Hillcrest Dr Apt B
Thousand Oaks, CA 91360-5860

Phone 805-630-4995

Mailing address

270 E Hillcrest Dr Apt B
Thousand Oaks, CA 91360-5860

Phone 805-630-4995

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