Individual
JEFFRY GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11285 INDIAN ST, MORENO VALLEY, CA 92557-5048
(951) 224-1444
Mailing address
11285 INDIAN ST, MORENO VALLEY, CA 92557-5048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51381
CA
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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