Gomez, Santiago

Gomez, Santiago is an individual health care provider with primary practice located at 1335 N Dutton Ave # 95401 , Santa Rosa CA 95401-4609. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Gomez, Santiago can be contacted via phone (707) 888-2927.

Contact Information

Primary practice address
1335 N Dutton Ave # 95401 Santa Rosa CA 95401-4609
Phone: (707) 888-2927
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1487293460
LBN Legal business name Gomez, Santiago
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2019
Last updated Dec 23rd, 2019 - about 5 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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