Provider Demographics
NPI:1659303352
Name:GOMEZ, ARTHUR GOMEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:GOMEZ
Last Name:GOMEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5767 W CENTURY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5632
Mailing Address - Country:US
Mailing Address - Phone:310-301-8708
Mailing Address - Fax:310-301-8751
Practice Address - Street 1:16111 PLUMMER ST
Practice Address - Street 2:(00P-B)
Practice Address - City:SEPULVEDA
Practice Address - State:CA
Practice Address - Zip Code:91343-2036
Practice Address - Country:US
Practice Address - Phone:818-891-7711
Practice Address - Fax:818-895-9470
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2014-02-04
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Provider Licenses
StateLicense IDTaxonomies
CAG61649207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G616490Medicaid
CAE83150Medicare UPIN
CA00G616490Medicaid