Individual
HAROLD AUGUSTO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN,FNP
Contact information
Practice address
1220 S GLENDORA AVE, WEST COVINA, CA 91790-4924
(626) 290-2923
Mailing address
1220 S GLENDORA AVE, WEST COVINA, CA 91790-4924
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NP9216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0092160
—
CA
Enumeration date
06/17/2005
Last updated
08/26/2010
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