Healthcare Provider Details

I. General information

NPI: 1528975018
Provider Name (Legal Business Name): ANDREW GOMEZ CHIROPRACTIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 N LANG AVE STE B
WEST COVINA CA
91790-2122
US

IV. Provider business mailing address

127 N LANG AVE STE B
WEST COVINA CA
91790-2122
US

V. Phone/Fax

Practice location:
  • Phone: 626-421-2554
  • Fax: 626-226-5100
Mailing address:
  • Phone: 626-421-2554
  • Fax: 626-226-5100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW GOMEZ
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 626-421-2554