Maya Gomez, Alexis Jhonatan

Maya Gomez, Alexis Jhonatan is an sole proprietor health care provider with primary practice located at 5333 Baltimore Dr Apt 6 , La Mesa CA 91942-2085. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Maya Gomez, Alexis Jhonatan can be contacted via phone (760) 886-2835.

Contact Information

Primary practice address
5333 Baltimore Dr Apt 6 La Mesa CA 91942-2085
Phone: (760) 886-2835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 786796 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95008246 California

Profile Details

NPI number 1659842615
LBN Legal business name Maya Gomez, Alexis Jhonatan
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2018
Last updated Dec 17th, 2018 - about 6 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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