Sergio R. Gomez M.D. Inc

LBN: Sergio R. Gomez M.D. Inc
Sergio R. Gomez M.D. Inc is an health care organization with primary practice located at 2005 North Garey Ave , Pomona CA 91767. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sergio R. Gomez M.D. Inc can be contacted via phone (909) 868-1620, or through Gomez, Sergio Rene via phone (909) 868-1620.

Contact Information

Primary practice address
2005 North Garey Ave Pomona CA 91767
Phone: (909) 868-1620
Fax: (909) 593-4500
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Sergio Rene
Phone: (909) 868-1620

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A74276 California

Profile Details

NPI number 1134325822
LBN Legal business name Sergio R. Gomez M.D. Inc
DBA Doing business as
Authorized official Gomez, Sergio Rene
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated May 31st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134325822 NPPES
California MEDICAID 00A742760

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