Search › California › 106S00000X
Anthony Gomez, CADCI CI21600218
NPI 1407340631 · on the registry since 2018 · sole proprietor
Practice
- Address
- 36442 Wildwood Canyon Rd
Yucaipa, CA 92399 - Phone
- (800) 474-4848
- Fax
- (909) 748-6424
- Organisation at this address
- Benchmark Young Adult School, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California