Individual
JENIFER HYOJIN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8635 W 3RD ST STE 590W, LOS ANGELES, CA 90048-6163
(310) 423-1220
Mailing address
8635 W 3RD ST STE 870W, LOS ANGELES, CA 90048-6107
(310) 423-1220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
56102
CA
363AS0400X
Surgical Physician Assistant
Primary
56102
CA
Other
Enumeration date
10/11/2018
Last updated
05/02/2024
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