Provider Demographics
NPI:1083670509
Name:GOMES, CHRISTINA LAUDALINA (ATC, SCS)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:LAUDALINA
Last Name:GOMES
Suffix:
Gender:F
Credentials:ATC, SCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23124 LULL STREET
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-4520
Mailing Address - Country:US
Mailing Address - Phone:818-430-6600
Mailing Address - Fax:
Practice Address - Street 1:23124 LULL ST
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-4520
Practice Address - Country:US
Practice Address - Phone:818-430-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer