Gomez, Harold Augusto
Gomez, Harold Augusto is an sole proprietor health care provider with primary practice located at 1220 S Glendora Ave , West Covina CA 91790-4924. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Gomez, Harold Augusto can be contacted via phone (626) 290-2923.Contact Information
Primary practice address
1220 S Glendora Ave
West Covina CA 91790-4924
Phone: (626) 290-2923
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | NP9216 | California |
Profile Details
NPI number | 1083619753 |
---|---|
LBN Legal business name | Gomez, Harold Augusto |
Credentials | MSN,FNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 17th, 2005 |
Last updated | Aug 26th, 2010 - about 14 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 | 1083619753 | NPPES |
California | MEDICAID | NP0092160 |
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