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Organization
SERGIO R. GOMEZ M.D. INC
Active
Organization
SERGIO R. GOMEZ M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO RENE GOMEZ (MEDICAL PRESIDENT)
(909) 868-1620
Entity
Organization
Contact information
Practice address
2005 NORTH GAREY AVE, POMONA, CA 91767
(909) 868-1620
(909) 593-4500
Mailing address
2005 N GAREY AVE, POMONA, CA 91767-2721
(909) 868-1620
(909) 593-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A74276
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A742760
—
CA
Enumeration date
06/21/2007
Last updated
05/31/2016
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