Individual
ADRIANA ELISABET GOMEZ-VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5628 E SLAUSON AVE, COMMERCE, CA 90040
(323) 318-9960
Mailing address
5628 E SLAUSON AVE, COMMERCE, CA 90040-2922
(323) 318-9960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
83827
CA
1041C0700X
Clinical Social Worker
Primary
124608
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
—
Enumeration date
01/06/2014
Last updated
07/29/2024
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