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Provider Information for 1649723057

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ALEJANDRA GOMEZ

Gender: FEMALE

Individual NPI: 1649723057

Calendar   Last Updated:  2016-08-02
  Certification Date: 

Details

Name Value
NPI 1649723057
Enumeration Date 2016-08-02
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2535 KETTNER BLVD STE 1A4
SAN DIEGO, CA 92101-1252
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 2535 KETTNER BLVD STE 1A4
SAN DIEGO, CA 92101-1252
United States

Phone: 619-615-0701 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 101Y00000X - Counselor