Doctor Name: | KIMBERLY PAIGE GOMEZ |
NPI Number: | 1396923645 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 6991 |
Business Practice Address: | 28093 Smyth Dr Valencia, CA - 913554023 |
Business Phone Number: | 6612950181 |
Business Fax Number: | 6612959776 |
Mailing Address: | 28093 Smyth Dr, VALENCIA |
State: | CA |
Postal Code: | 913554023 |
Phone Number: | 6612950181 |
Fax Number: | 6612959776 |
NPI Enumeration Date: | 02/07/2008 |
NPI Last Update Date: | 01/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 6991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |