Individual
MICHAEL GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2010 WILSHIRE BLVD, SUITE 800, LOS ANGELES, CA 90057-3507
(213) 252-1985
Mailing address
7060 SANTA RITA CIR, BUENA PARK, CA 90620-3142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10330
CA
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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