DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ANGEL GOMEZ

MEDICARE: ANGEL 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1427991462
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL GOMEZ
Provider Business Mailing Address
First Line : 23701 BIRTCHER DR
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-1772
Country : US
Telephone Number : 931-472-8623
Fax Number :
Provider Business Practice Location Address
First Line : 23701 BIRTCHER DR
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-1772
Country : US
Telephone Number : 931-472-8623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

Similar Medicare Providers

1053254086 — DEZIRAE MUNOZ
Practice Location Address:
23701 BIRTCHER DR
LAKE FOREST, CA
92630-1772
Practice Phone: 931-472-8623
Practice Fax:
1194668129 — OLIVIA JAQUES
Practice Location Address:
23701 BIRTCHER DR
LAKE FOREST, CA
92630-1772
Practice Phone: 931-472-8623
Practice Fax:
1093658031 — SAMANTHA CARRANZA
Practice Location Address:
23701 BIRTCHER DR
LAKE FOREST, CA
92630-1772
Practice Phone: 931-472-8623
Practice Fax:
1750224796 — ZETA PATTI-DURAN
Practice Location Address:
23701 BIRTCHER DR
LAKE FOREST, CA
92630-1772
Practice Phone: 931-472-8623
Practice Fax:
1407798515 — ISAAC ESCAMILLA
Practice Location Address:
23701 BIRTCHER DR
LAKE FOREST, CA
92630-1772
Practice Phone: 931-472-8623
Practice Fax:
1831572445 — BEHAVIOR CHANGE INTERVENTIONS
Practice Location Address:
23701 BIRTCHER DR
LAKE FOREST, CA
92630-1772
Practice Phone: 714-717-5158
Practice Fax:

Directions to “ ANGEL 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.