Individual
GINA MARIN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19700 S VERMONT AVE, STE 250, TORRANCE, CA 90502-1100
(213) 385-5100
Mailing address
19700 S VERMONT AVE, STE 250, TORRANCE, CA 90502-1100
(213) 385-5100
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/29/2011
Last updated
06/01/2017
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