Individual
DEBORAH INNES-GOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S VERMONT AVE FL 3, LOS ANGELES, CA 90020-1912
(213) 738-2756
Mailing address
2211 WANDERER DR, SAN PEDRO, CA 90732-4128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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