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Individual

MR. ALEXIS GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12021 WILMINGTON AVE UNIT 2B, LOS ANGELES, CA 90059-3019
(213) 222-1681
Mailing address
12021 WILMINGTON AVE UNIT 2B, LOS ANGELES, CA 90059-3019
(213) 222-1681

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
172V00000X
Community Health Worker
175T00000X
Peer Specialist
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95-26337565
MEDI-CAL
CA
Enumeration date
11/17/2016
Last updated
03/10/2026
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