Individual
JANNETTE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(909) 558-4000
Mailing address
16635 CENTURY PLANT RD, APPLE VALLEY, CA 92307-1905
(909) 558-4000
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
53901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53901
—
CA
Enumeration date
09/22/2025
Last updated
09/22/2025
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