Nelson Gomez JR.
Rehabilitation Counselor
12 Rancho Camino Dr Ste 102
Pomona
, California 91766-7008
Nelson Gomez JR.
Rehabilitation Counselor
12 Rancho Camino Dr Ste 102
Pomona
, California 91766-7008
(909) 865-8552
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Nelson Gomez JR.
- 12 Rancho Camino Dr Ste 102
- Pomona, CA
- Zip : 91766-7008
- Fax : (909) 865-8552
- Phone : (909) 865-8500
Second Address
- Nelson Gomez JR.
- 12 Rancho Camino Dr Ste 102
- Pomona, CA
- Zip : 91766-7008
- Fax : (909) 865-8552
- Phone : (909) 865-8500
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1326289828 |
|---|---|
| Provider Name | Nelson Gomez JR. |
| First Address | Pomona, CA 91766-7008 |
| Second Address | Pomona, CA 91766-7008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/03/2009 |
| Last Update Date | 19/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7068 | (05) | CA |
| 7420 | (05) | CA |
| PSY27761 | LICENSE NUMBER (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.