Individual
HUGO EDGARDO GOMEZ-ENGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5525 GROSSMONT CENTER DR, SUITE 609, LA MESA, CA 91942-3009
(619) 466-5700
(619) 460-8975
Mailing address
5525 GROSSMONT CENTER DR, SUITE 609, LA MESA, CA 91942-3009
(619) 466-5700
(619) 460-8975
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
A33949
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A33949
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GW765A
MEDICARE PTAN
CA
Enumeration date
07/28/2011
Last updated
12/19/2013
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