Individual provider · NPI-1

Emmanuel Adonai Gomez

Pharmacy Technician · Moreno Valley, CA

NPI number1447873930
StatusActive
Last updated in NPPESMay 11, 2026

Details

NPI
1447873930
Entity type
Individual (NPI-1)
Name
Emmanuel Adonai Gomez
Sex
Male
Sole proprietor
Yes
Enumeration date
May 19, 2020
Certification date
May 19, 2020
Last updated
May 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician105244CAYes

Practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Phone 951-486-5099

Mailing address

15075 Joshua Tree Ct
Fontana, CA 92335-7043

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