Jessica Gomez, is a
Rehabilitation Practitioner based in Los Angeles, California. Jessica Gomez is licensed to practice in * (Not Available) (license number ) and her current practice location is
840 N Avenue 66, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(626) 395-7100.
NPI number for Jessica Gomez is 1659916625 and her current mailing address is 840 N Avenue 66, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659916625.
Healthcare Provider's Profile
| Full Name | Jessica Gomez |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 840 N Avenue 66, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659916625
- Provider Enumeration Date: 11/13/2019
- Last Update Date: 01/13/2025
Medical Identifiers
Medical identifiers for Jessica Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659916625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Gomez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Gomez,
840 N Avenue 66,
Los Angeles, CA 90042-1508
Ph: (626) 395-7100 | Jessica Gomez,
840 N Avenue 66,
Los Angeles, CA 90042-1508
Ph: (626) 395-7100 |
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