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NPI Code Detail

MEDICARE: GUADALUPE GOMEZ

MEDICARE: GUADALUPE GOMEZ
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1417747155
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUADALUPE GOMEZ
Provider Business Mailing Address
First Line : 3301 37TH AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95824-2418
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3301 37TH AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95824-2418
Country : US
Telephone Number : 916-210-8773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2025
Last Update Date : 01/20/2026

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Directions to “ GUADALUPE GOMEZ ” Practice Location

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