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Organization
GUILLERMO J GOMEZ MD INC
Active
Organization
GUILLERMO J GOMEZ MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO J GOMEZ MD (PRESIDENT)
(951) 774-3050
Entity
Organization
Contact information
Practice address
3750 ARLINGTON AVE, RIVERSIDE, CA 92506-2607
(951) 774-3050
(951) 774-3182
Mailing address
PO BOX 7277, RIVERSIDE, CA 92513-7277
(951) 774-3050
(951) 774-3182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A69815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A698150
—
CA
05
—
00A698151
—
CA
Enumeration date
05/13/2009
Last updated
08/18/2014
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