Healthcare Provider Details

I. General information

NPI: 1750204095
Provider Name (Legal Business Name): NATALIA ALEXANDRIA GOMEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2044 FILLMORE ST FL 2
SAN FRANCISCO CA
94115-2781
US

IV. Provider business mailing address

1518 32ND AVE
SAN FRANCISCO CA
94122-3139
US

V. Phone/Fax

Practice location:
  • Phone: 760-224-8090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number93640
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: