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NPI Code Detail

MEDICARE: CRYSTAL GOMEZ

MEDICARE: CRYSTAL 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
1101YS0200XSchool Counselor220224398CA

General Provider Information

NPI Number : 1033054390
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL GOMEZ
Provider Business Mailing Address
First Line : 1111 VAN NESS AVE
Second Line :
City : FRESNO
State : CA
Zip : 93721-2002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1111 VAN NESS AVE
Second Line :
City : FRESNO
State : CA
Zip : 93721-2002
Country : US
Telephone Number : 559-363-8020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ CRYSTAL GOMEZ ” 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.

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