Individual
BEATRIZ YULIANA CRISOSTOMO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25910 ACERO STE 160, MISSION VIEJO, CA 92691-2777
(909) 320-9068
Mailing address
34324 YUCAIPA BLVD, YUCAIPA, CA 92399-2496
(909) 790-1300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128504
CA
Other
Enumeration date
07/29/2020
Last updated
05/15/2025
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