Doctor Name: | DR. ESTEBAN MANUEL GOMEZ |
NPI Number: | 1831271790 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | A40128 |
Business Practice Address: | 5101 Florence Ave Suite 7 Bell, CA - 90201 |
Business Phone Number: | 3235621217 |
Business Fax Number: | 3235621925 |
Mailing Address: | 5101 Florence Ave, Suite 7 BELL |
State: | CA |
Postal Code: | 90201 |
Phone Number: | 3235621217 |
Fax Number: | 3235621925 |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 08/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A40128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |