Individual
JOSE I GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(951) 970-5681
Mailing address
5204 YARMOUTH AVE APT 320, ENCINO, CA 91316-3101
(951) 970-5681
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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