Individual
WILVER MILTON GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCPO
Contact information
Practice address
1515 WILSHIRE BLVD STE 3, LOS ANGELES, CA 90017-3023
(213) 482-5226
(213) 482-5040
Mailing address
1515 WILSHIRE BLVD STE 3, LOS ANGELES, CA 90017-3023
(213) 482-5226
(213) 482-5040
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C50076
CA
224P00000X
Prosthetist
Primary
C50076
CA
Other
Enumeration date
08/26/2014
Last updated
07/25/2025
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