| NPI | 1780442699 |
|---|---|
| Former Legal Business Name | ALEXIS GOMEZ, REGISTERED NURSE PRACTITIONER, A PROFRSSIONAL CORPORATI |
| Entity Type | Organization |
| Authorized Contact | ALEXIS GOMEZ GONZALEZ Nurse Practitioner 818-235-3926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |