Individual
BRIAN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1600 CAMPUS RD, LOS ANGELES, CA 90041-3314
(562) 805-4413
Mailing address
14602 LORCA RD, LA MIRADA, CA 90638-3939
(562) 805-4413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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