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Jonathan Daniel Gomez

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

5000 W Sunset Blvd Ste 600, Los Angeles, CA 90027-5863

PECOS Enrollment

This provider is enrolled in PECOS as JONATHAN GOMEZ.

Based on the most recent information from CMS, provider Jonathan Daniel Gomez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1184185787
Provider Type
Individual
Full Name
Gomez, Jonathan Daniel
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/27/2019
Last Updated
9/12/2023

Contact Information

Practice Location

5000 W Sunset Blvd Ste 600, Los Angeles, CA 90027-5863

(323) 671-2600

(323) 334-1381

Mailing Location

5000 W Sunset Blvd Ste 600, Los Angeles, CA 90027-5863

(323) 671-2600

(323) 334-1381

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A176609 California

Jonathan Daniel Gomez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Smith, Nicole Renee

Stefanovic, Milica

Stewart, John Michael

Liu, Jonathan

Bailey, Randall Scott

Mirea, Adrian D.

Zargarian, Ariana

Gotham Psychiatric Pc

Shaner, Stephanie

Sabshin, Alisa Anne