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NPI Code Detail

MEDICARE: MISS AMBAR GOMEZ

MEDICARE:  MISS AMBAR  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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1326309824
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS AMBAR GOMEZ
Provider Business Mailing Address
First Line : 3727 W 6TH ST STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90020-5108
Country : US
Telephone Number : 213-365-7400
Fax Number :
Provider Business Practice Location Address
First Line : 3727 W 6TH ST STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90020-5108
Country : US
Telephone Number : 213-365-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2012
Last Update Date : 03/23/2023

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Directions to “ MISS AMBAR GOMEZ ” Practice Location

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