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Individual

ADRIAN GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.A.T.C. I

Contact information

Practice address
24361 NUGGET FALLS LN, LAGUNA NIGUEL, CA 92677
(714) 504-4338
Mailing address
24361 NUGGET FALLS LN, LAGUNA NIGUEL, CA 92677
(714) 504-4338

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
123322 I
CA
133N00000X
Nutritionist
1160024251
CA
174H00000X
Health Educator
123322 I
CA
2255A2300X
Athletic Trainer
1160024251
CA

Other

Enumeration date
03/17/2016
Last updated
03/21/2017
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