Gomez, Carlos J
Gomez, Carlos J is an sole proprietor health care provider with primary practice located at 2424 Rendova Rd Bldg 156, San Diego CA 92155-5041. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gomez, Carlos J can be contacted via phone (619) 735-2452.Contact Information
Primary practice address
2424 Rendova Rd Bldg 156
San Diego CA 92155-5041
Phone: (619) 735-2452
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1487099008 |
|---|---|
| LBN Legal business name | Gomez, Carlos J |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2013 |
| Last updated | May 9th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487099008 | NPPES |
| Other | 1710-1002X | IDC |
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