DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSICA GOMEZ GUDINO MS

MEDICARE: JESSICA GOMEZ GUDINO MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2103K00000XBehavior Analyst1-23-63796CA

General Provider Information

NPI Number : 1225530231
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA GOMEZ GUDINO MS
Provider Business Mailing Address
First Line : 4221 WILSHIRE BLVD STE 300A
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-3537
Country : US
Telephone Number : 888-428-3223
Fax Number : 323-866-1881
Provider Business Practice Location Address
First Line : 100 S ANAHEIM BLVD STE 340
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-3877
Country : US
Telephone Number : 888-428-3223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2018
Last Update Date : 10/30/2023

Similar Medicare Providers

1740869023 — CASSIDI PALMA
Practice Location Address:
100 S ANAHEIM BLVD STE 340
ANAHEIM, CA
92805-3877
Practice Phone: 888-428-3223
Practice Fax: 323-866-1881
1700919362 — MISS SHERYLL VERA CRUZ ELLORENCO MA
Practice Location Address:
100 S ANAHEIM BLVD STE 340
ANAHEIM, CA
92805-3877
Practice Phone: 888-428-3223
Practice Fax: 323-866-1881
1831506617 — CRYSTAL NICHOLSON-BRAIN MA, BCBA
Practice Location Address:
100 S ANAHEIM BLVD STE 340
ANAHEIM, CA
92805-3877
Practice Phone: 888-428-3223
Practice Fax: 323-866-1881
1083142848 — DEISY PULIDO BCBA
Practice Location Address:
100 S ANAHEIM BLVD STE 340
ANAHEIM, CA
92805-3877
Practice Phone: 888-428-3223
Practice Fax: 323-866-1881
1619464278 — NGOC-LAN LE MS, BCBA
Practice Location Address:
100 S ANAHEIM BLVD STE 340
ANAHEIM, CA
92805-3877
Practice Phone: 888-428-3223
Practice Fax: 323-866-1881
1427547603 — DAMI TRACY VASQUEZ
Practice Location Address:
100 S ANAHEIM BLVD STE 340
ANAHEIM, CA
92805-3877
Practice Phone: 888-428-3223
Practice Fax: 323-866-1881

Directions to “ JESSICA GOMEZ GUDINO MS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.