# ALEXIS GOMEZ REGISTERED NURSE PRACTITIONER A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ALEXIS GOMEZ, REGISTERED NURSE PRACTITIONER, A PROFRSSIONAL CORPORATI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780442699
- **Authorized official:** ALEXIS GOMEZ GONZALEZ NURSE PRACTITIONER (OWNER)
- **Authorized official phone:** (818) 235-3926

## Contact information

- **Practice address:** 3030 E. 4TH STREET, SUITE B, LOS ANGELES, CA 90063-3137
- **Practice address phone:** (818) 235-3926
- **Practice address fax:** (305) 257-9978
- **Mailing address:** 6059 FALLBROOK AVE, WOODLAND HILLS, CA 91367-3224
- **Mailing address phone:** (818) 235-3926
- **Mailing address fax:** (305) 257-9978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 02/03/2026