Lydia Jeanne Gomez, AGACNP
Nurse Practitioner, Acute Care in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982240206
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1982240206
- Entity type
- Individual (NPI-1)
- Name
- Lydia Jeanne Gomez
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2019
- Certification date
- Sep 11, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | NP95013327 | CA | Yes |
Practice location
1516 San Pablo St Fl 2Los Angeles, CA 90033-5313
Phone 323-442-5908
Mailing address
Po Box 31309Los Angeles, CA 90031-0309
Phone 323-442-5908
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