Individual
MR. ADAM GOMEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 W WEST COVINA PKWY, WEST COVINA, CA 91790-2815
(626) 974-0770
Mailing address
1215 W WEST COVINA PKWY, WEST COVINA, CA 91790-2815
(626) 974-0770
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
131703
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/27/2021
Last updated
03/11/2022
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