Individual
BETH S GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6865 ALTON PKWY, SUITE 110, IRVINE, CA 92618-3735
(949) 727-1858
(949) 727-1868
Mailing address
PO BOX 8125, FOUNTAIN VALLEY, CA 92728-8125
(949) 727-1858
(949) 727-1868
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
PT26517
CA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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