Gomez, Juan

Gomez, Juan is an individual health care provider with primary practice located at 2090 Commerce Ave , Concord CA 94520-4902. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Gomez, Juan can be contacted via phone (925) 676-2580.

Contact Information

Primary practice address
2090 Commerce Ave Concord CA 94520-4902
Phone: (925) 676-2580
Fax: (925) 676-1315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 169084 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1164968699
LBN Legal business name Gomez, Juan
Credentials CAADE CATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2017
Last updated Jun 19th, 2017 - about 9 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 1164968699 NPPES
California Other 169084 CAADE

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