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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083619753 NPPES
California MEDICAID NP0092160

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