Provider Demographics
NPI:1952673808
Name:GOMEZ, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 E 5TH ST
Mailing Address - Street 2:APT 2
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-2958
Mailing Address - Country:US
Mailing Address - Phone:310-699-5513
Mailing Address - Fax:
Practice Address - Street 1:4301 E 5TH ST
Practice Address - Street 2:APT 2
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90814-2958
Practice Address - Country:US
Practice Address - Phone:310-699-5513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula