Gomez, Jose Leonel
Gomez, Jose Leonel is an individual health care provider with primary practice located at 2955 E Florence Ave , Huntington Park CA 90255. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gomez, Jose Leonel can be contacted via phone (323) 585-0732.Contact Information
Primary practice address
2955 E Florence Ave
Huntington Park CA 90255
Phone: (323) 585-0732
Fax: (323) 585-1673
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA17148 | California |
Profile Details
NPI number | 1821155763 |
---|---|
LBN Legal business name | Gomez, Jose Leonel |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 2nd, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1821155763 | NPPES |
California | Other | PA17148 | LICENSE |
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