Gomes, Qiseana A

Gomes, Qiseana A is an sole proprietor health care provider with primary practice located at 2640 Industry Way , Lynwood CA 90262-4284. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Gomes, Qiseana A can be contacted via phone (310) 627-4525.

Contact Information

Primary practice address
2640 Industry Way Lynwood CA 90262-4284
Phone: (310) 627-4525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1268011017 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1417588732
LBN Legal business name Gomes, Qiseana A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2020
Last updated Jul 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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