Individual provider · Type 1 NPI

Dave Axel Gomez Gomez

Student in an Organized Health Care Education/Training Program · Cupertino, CA

NPI number 1376435255 Active

Practice location

20555 Prospect Rd
Cupertino, CA 95014-5212

Mailing address

10213 Miguelito Rd
San Jose, CA 95127-2715

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376435255

Dave Axel Gomez Gomez's National Provider Identifier is 1376435255, issued on Jul 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cupertino, CA. The record was last updated on Jul 16, 2025.