Individual
RICARDO M GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18012 WIKA RD, APPLE VALLEY, CA 92307-2125
(442) 292-2358
(949) 695-4153
Mailing address
18092 WIKA RD STE 220, APPLE VALLEY, CA 92307-2132
(760) 515-6260
(949) 863-8505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263568-1
NY
207RP1001X
Pulmonary Disease Physician
Primary
A134736
CA
Other
Enumeration date
12/07/2011
Last updated
05/07/2024
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