Individual
LESLIE NOBUKO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 657-6879
Mailing address
PO BOX 513599, LOS ANGELES, CA 90051-3599
(858) 974-9755
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95007502
CA
Other
Enumeration date
10/03/2017
Last updated
04/10/2020
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