Gomez, Albert A

Gomez, Albert A is an individual health care provider with primary practice located at 1644 Alum Rock Ave , San Jose CA 95116-2429. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Gomez, Albert A can be contacted via phone (408) 347-1680.

Contact Information

Primary practice address
1644 Alum Rock Ave San Jose CA 95116-2429
Phone: (408) 347-1680
Fax: (408) 347-1681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A303360 California

Profile Details

NPI number 1134228752
LBN Legal business name Gomez, Albert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 25th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134228752 NPPES
California Other ZZZ41448Z BLUE SHIELD PIN
California MEDICAID GR0070181 BLUE SHIELD PIN
California MEDICAID GR0070182 BLUE SHIELD PIN
California MEDICAID GR0070180 BLUE SHIELD PIN
California Other 00A303360 BLUE SHIELD PIN

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