Gomez, Jose Leonel

Gomez, Jose Leonel is an individual health care provider with primary practice located at 2955 E Florence Ave , Huntington Park CA 90255. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gomez, Jose Leonel can be contacted via phone (323) 585-0732.

Contact Information

Primary practice address
2955 E Florence Ave Huntington Park CA 90255
Phone: (323) 585-0732
Fax: (323) 585-1673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17148 California

Profile Details

NPI number 1821155763
LBN Legal business name Gomez, Jose Leonel
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1821155763 NPPES
California Other PA17148 LICENSE

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