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Provider Information for 1780796342

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

ALLEN GOMEZ M.D.

Gender: MALE

Individual NPI: 1780796342

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1780796342
Enumeration Date 2006-08-31
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2801 ATLANTIC AVE 3RD FLOOR
LONG BEACH, CA 90806-1701
United States

Phone: 562-933-8743 | Fax: 562-933-8014
View Map External Link
Primary Practice Address 2801 ATLANTIC AVE 3RD FLOOR
LONG BEACH, CA 90806-1701
United States

Phone: 562-933-8743 | Fax: 562-933-8014
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 2080P0203X - Pediatrics Pediatric Critical Care Medicine CA A88737