Individual provider · Type 1 NPI

Brenda V. Gomez, PA

Surgical Physician Assistant · Marina Del Rey, CA

NPI number 1144170473 Active

Practice location

13160 Mindanao Way # 20290292
Marina Del Rey, CA 90292-6358

Mailing address

13160 Mindanao Way Ste 202
Marina Del Rey, CA 90292-7915

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1144170473

Brenda V. Gomez, PA's National Provider Identifier is 1144170473, issued on Jan 28, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Marina Del Rey, CA. The record was last updated on Jan 28, 2026.