Provider Demographics
NPI:1225836919
Name:GOMEZ, YOLANDA (CPT-1, INSTRUCTOR)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:GOMEZ
Suffix:
Gender:
Credentials:CPT-1, INSTRUCTOR
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:44649 13TH ST E
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-3402
Mailing Address - Country:US
Mailing Address - Phone:661-965-9558
Mailing Address - Fax:
Practice Address - Street 1:44649 13TH ST E
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-3402
Practice Address - Country:US
Practice Address - Phone:661-965-9558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPT-00016990246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy