Individual
BLANCA MELISA GOMEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7423 1/4 S SEPULVEDA BLVD, LOS ANGELES, CA 90045
(310) 482-1653
Mailing address
5825 W OLYMPIC BLVD, LOS ANGELES, CA 90036-4612
(323) 933-9022
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
03/17/2018
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