Individual
JACOB JOHN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DME
Contact information
Practice address
1220 PIONEER ST, UNIT B, BREA, CA 92821-3715
(562) 665-8026
(714) 446-9811
Mailing address
1220 PIONEER ST, BREA, CA 92821-3715
(562) 665-8026
(714) 446-9811
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
A9358262
CA
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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