Gomez, Madison
Gomez, Madison is an sole proprietor health care provider with primary practice located at 18558 San Felipe St , Fountain Valley CA 92708-7119. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Gomez, Madison can be contacted via phone (714) 514-2247.Contact Information
Primary practice address
18558 San Felipe St
Fountain Valley CA 92708-7119
Phone: (714) 514-2247
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1487142667 |
|---|---|
| LBN Legal business name | Gomez, Madison |
| Credentials | MS, ATC, CES |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2018 |
| Last updated | Dec 3rd, 2020 - 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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