Gomez, Destiny Monet
Gomez, Destiny Monet is an sole proprietor health care provider with primary practice located at 625 Fair Oaks Ave Ste 300 , South Pasadena CA 91030-5805. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Gomez, Destiny Monet can be contacted via phone (626) 441-4221.Contact Information
Primary practice address
625 Fair Oaks Ave Ste 300
South Pasadena CA 91030-5805
Phone: (626) 441-4221
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Psychiatric Technician | 167G00000X | PT42667 | California |
Profile Details
| NPI number | 1356115778 |
|---|---|
| LBN Legal business name | Gomez, Destiny Monet |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2023 |
| Last updated | Nov 27th, 2023 - about last year |
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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