Individual
ISELA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12440 FIRESTONE BLVD, SUITE 3025, NORWALK, CA 90650-4328
(562) 929-6688
(562) 929-3868
Mailing address
12440 FIRESTONE BLVD, SUITE 3025, NORWALK, CA 90650-4328
(562) 929-6688
(562) 929-3868
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT28304
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT28304
PT
CA
Enumeration date
02/12/2007
Last updated
07/08/2007
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