Organization
VET PHOENIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL GOMEZ (CEO)
(562) 347-8562
Entity
Organization
Contact information
Practice address
23697 BAY AVE, MORENO VALLEY, CA 92553-3403
(562) 347-8562
Mailing address
PO BOX 11373, WHITTIER, CA 90603-0373
(562) 347-8562
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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