Gomez, Petra G

Gomez, Petra G is an sole proprietor health care provider with primary practice located at 1300 Avenida Vista Hermosa Suite 100, San Clemente CA 92673-6315. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Gomez, Petra G can be contacted via phone (949) 218-3001.

Contact Information

Primary practice address
1300 Avenida Vista Hermosa Suite 100 San Clemente CA 92673-6315
Phone: (949) 218-3001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1174990188
LBN Legal business name Gomez, Petra G
Credentials NCPT, NCMA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2015
Last updated Aug 25th, 2015 - about 11 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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