# VET PHOENIX

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770400202
- **Authorized official:** MANUEL GOMEZ (CEO)
- **Authorized official phone:** (562) 347-8562

## Contact information

- **Practice address:** 23697 BAY AVE, MORENO VALLEY, CA 92553-3403
- **Practice address phone:** (562) 347-8562
- **Mailing address:** PO BOX 11373, WHITTIER, CA 90603-0373
- **Mailing address phone:** (562) 347-8562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/06/2026
- **Last updated:** 07/06/2026