Individual
LUISANA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
941 S ATLANTIC BLVD, SUITE 101, MONTEREY PARK, CA 91754-4722
(626) 458-8401
(626) 458-5606
Mailing address
629 W VERMONT AVE, APT 14B, ANAHEIM, CA 92805-5054
(951) 367-9631
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20958
CA
Other
Enumeration date
12/14/2010
Last updated
02/29/2012
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