Gomez, Emmanuel Adonai

Gomez, Emmanuel Adonai is an sole proprietor health care provider with primary practice located at 26520 Cactus Ave , Moreno Valley CA 92555-3927. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Gomez, Emmanuel Adonai can be contacted via phone (951) 486-5099.

Contact Information

Primary practice address
26520 Cactus Ave Moreno Valley CA 92555-3927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 105244 California

Profile Details

NPI number 1447873930
LBN Legal business name Gomez, Emmanuel Adonai
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2020
Last updated May 19th, 2020 - about 4 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 1447873930 NPPES
California MEDICAID 11031989

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