Individual
MR. ANTHONY GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-2612
Mailing address
3724 GLENDON AVE APT 102, LOS ANGELES, CA 90034-6264
(619) 817-7911
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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