Doctor Name: | DR. ALBERT A GOMEZ |
NPI Number: | 1134228752 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A303360 |
Business Practice Address: | 1644 Alum Rock Ave San Jose, CA - 951162429 |
Business Phone Number: | 4083471680 |
Business Fax Number: | 4083471681 |
Mailing Address: | 1644 Alum Rock Ave, SAN JOSE |
State: | CA |
Postal Code: | 951162429 |
Phone Number: | 4083471680 |
Fax Number: | 4083471681 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 02/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A303360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |