Individual
LORENA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 W KATELLA AVE, ORANGE, CA 92867-3451
(562) 667-6075
Mailing address
1855 W KATELLA AVE, ORANGE, CA 92867-3451
(562) 667-6075
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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