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NPI Code Detail

MEDICARE: MRS. LIVIER GOMEZ RN

MEDICARE: MRS. LIVIER GOMEZ RN
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
1163W00000XRegistered Nurse654857CA

General Provider Information

NPI Number : 1518912674
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LIVIER GOMEZ RN
Provider Business Mailing Address
First Line : 4305 UNIVERSITY AVENUE
Second Line : STE 150
City : SAN DIEGO
State : CA
Zip : 92105-1601
Country : US
Telephone Number : 619-563-0507
Fax Number : 619-563-0015
Provider Business Practice Location Address
First Line : 4305 UNIVERSITY AVENUE
Second Line : STE 150
City : SAN DIEGO
State : CA
Zip : 92105-1601
Country : US
Telephone Number : 619-563-0507
Fax Number : 619-563-0015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. LIVIER GOMEZ RN” Practice Location

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