Gomez, Guillermo Javier
Gomez, Guillermo Javier is an sole proprietor health care provider with primary practice located at 3750 Arlington Ave , Riverside CA 92506-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gomez, Guillermo Javier can be contacted via phone (951) 774-3050.Contact Information
Primary practice address
3750 Arlington Ave
Riverside CA 92506-2607
Phone: (951) 774-3050
Fax: (951) 774-3182
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A69815 | California |
Profile Details
NPI number | 1538137898 |
---|---|
LBN Legal business name | Gomez, Guillermo Javier |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 10th, 2006 |
Last updated | Mar 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538137898 | NPPES |
California | Other | A69815 | CALIFORNIA LICENCE |
California | MEDICAID | 00A698151 | CALIFORNIA LICENCE |
California | Other | 1346474723 | CALIFORNIA LICENCE |
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