Gomez, Jorge Alejandro

Gomez, Jorge Alejandro is an sole proprietor health care provider with primary practice located at 150 W 7Th St , San Pedro CA 90731. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gomez, Jorge Alejandro can be contacted via phone (310) 519-6100.

Contact Information

Primary practice address
150 W 7Th St San Pedro CA 90731
Phone: (310) 519-6100
Fax: (310) 732-5809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW108319 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW83272 California

Profile Details

NPI number 1568917805
LBN Legal business name Gomez, Jorge Alejandro
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2016
Last updated Jul 5th, 2023 - about 3 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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