Gomez, Nelson
Gomez, Nelson is an sole proprietor health care provider with primary practice located at 12 Rancho Camino Dr Ste 102, Pomona CA 91766-7008. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as his primary health care specialty. Gomez, Nelson can be contacted via phone (909) 865-8500.Contact Information
Primary practice address
12 Rancho Camino Dr Ste 102
Pomona CA 91766-7008
Phone: (909) 865-8500
Fax: (909) 865-8552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X |
Profile Details
| NPI number | 1326289828 |
|---|---|
| LBN Legal business name | Gomez, Nelson |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2009 |
| Last updated | Apr 19th, 2016 - about 8 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 | 1326289828 | NPPES |
| California | MEDICAID | 7068 | |
| California | MEDICAID | 7420 | |
| California | Other | PSY27761 |
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