Individual
MS. GLORIA JOHANNA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8921
Mailing address
3770 KEYSTONE AVE APT 412, LOS ANGELES, CA 90034-6362
(201) 920-9316
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2024
Last updated
09/11/2024
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