Individual
MR. ENRIQUE DANIEL GOMEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1500 E CHEVY CHASE DR # 204, GLENDALE, CA 91206-4152
(818) 827-3898
(818) 827-3897
Mailing address
PO BOX 41926, LOS ANGELES, CA 90041-0926
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95006986
CA
Other
Enumeration date
07/18/2017
Last updated
09/16/2019
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