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Individual
DR. MICHELE A. GOMEZ
Active
Individual
DR. MICHELE A. GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A77883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A778830
—
CA
01
—
207Q00000X
MEDICARE NPI TAXONOMY
CA
01
—
A77883
MEDICAL BOARD OF CALIFORNIA LICENSE NUMBER
CA
Enumeration date
11/20/2006
Last updated
01/04/2016
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