Individual
ELAINE MANANSALA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
438698
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438698
LICENSE NUMBER
CA
01
—
7230
FURNISHING NUMBER
CA
Enumeration date
04/12/2007
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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