Individual
MR. DOMINGO GOMEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
CA
372600000X
Adult Companion
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41321
UNICARE #
CA
Enumeration date
11/21/2006
Last updated
11/19/2025
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