Individual
ANTOINETTE S. GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 100, LOS ANGELES, CA 90024-7000
(310) 481-7545
(310) 794-9035
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-6800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G19745
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G19745
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G197450
—
CA
Enumeration date
06/21/2006
Last updated
10/22/2019
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