Provider Demographics
NPI:1922413673
Name:SELPIDES, AURORA ALEJANDRA GOMEZ (MD, MPH)
Entity Type:Individual
Prefix:
First Name:AURORA
Middle Name:ALEJANDRA GOMEZ
Last Name:SELPIDES
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:AURORA
Other - Middle Name:ALEJANDRA
Other - Last Name:GOMEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPH
Mailing Address - Street 1:2240 MERCURY WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95407-5413
Mailing Address - Country:US
Mailing Address - Phone:707-566-6302
Mailing Address - Fax:
Practice Address - Street 1:2240 MERCURY WAY
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95407-5413
Practice Address - Country:US
Practice Address - Phone:707-566-6302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR74392207Q00000X
CA148911207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine