Individual
BRENDA V GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13160 MINDANAO WAY # 20290292, MARINA DEL REY, CA 90292-6358
(310) 574-2103
Mailing address
13160 MINDANAO WAY STE 202, MARINA DEL REY, CA 90292-7915
(310) 574-2103
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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