Individual
JONATHAN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 34TH ST, SAN DIEGO, CA 92102-2416
(619) 232-2946
(619) 232-1058
Mailing address
1201 34TH ST, SAN DIEGO, CA 92102-2416
(619) 232-2946
(619) 232-1058
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3035
CA
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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