Individual
EVELYN GISELLE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1211 W LA PALMA AVE, SUITE #707, ANAHEIM, CA 92801-2815
(724) 776-2100
(714) 776-1960
Mailing address
1211 W LA PALMA AVE, SUITE #707, ANAHEIM, CA 92801-2815
(724) 776-2100
(714) 776-1960
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20871
CA
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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