Individual
ANGEL GOMEZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3531 FEDERAL AVE, LOS ANGELES, CA 90066-2810
(949) 343-4911
(714) 771-8481
Mailing address
3531 FEDERAL AVE, LOS ANGELES, CA 90066-2810
(949) 343-4911
(714) 771-8481
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A052635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-4799597
TAX ID
CA
Enumeration date
12/20/2007
Last updated
12/28/2022
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