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Jairo Gomez

  • Male

Medical Specialty

Professional ID

  • NPI: 1417055104
  • PECOS ID: 3173596103
  • Enrollment ID: I20040817000970
  • Credential(MD, DO, DPM): MD
  • Medical School:
  • Medical School Graduation Year: 1967

Hospital Service

  • Hospital CCN1: 050641
  • Business Name (LBN)1: East Los Angeles Doctors Hospital
  • Hospital CCN2: 050091
  • Business Name (LBN)2: Community Hospital Of Huntington Park
  • Hospital CCN3: 050468
  • Business Name (LBN)3: Memorial Hospital Of Gardena
  • Hospital CCN4: 050736
  • Business Name (LBN)4: Monterey Park Hospital

Location

  • Address1: 11701 Studebaker Rd
  • Address2:
  • City: Norwalk
  • State: California
  • Zip Code: 90650
  • Phone Number: (562)868-9761

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):