Individual provider · Type 1 NPI

Jose Gomez

Rehabilitation Practitioner · Fullerton, CA

NPI number 1215199633 Active

Practice location

801 E Chapman Ave Ste 203
Fullerton, CA 92831-3846

Call (714) 680-8268 Map

Fax (714) 680-8233

Mailing address

PO Box 919, Crittenton Services
Fullerton, CA 92836-0919

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1215199633

Jose Gomez's National Provider Identifier is 1215199633, issued on Jun 26, 2008. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Fullerton, CA. The record was last updated on Jun 17, 2013.