GILLIAN GOMULKA RN NPI 1093930331

NPI Information

NPI: 1093930331
Provider Name: GILLIAN GOMULKA, RN
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
11201 BENTON ST
112
LOMA LINDA, CA
ZIP 92357
Phone: (909) 825-7084
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Gillian Gomulka, RN is a case management registered nurse in Loma Linda, CA. Gillian Gomulka, RN NPI is 1093930331. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11201 BENTON ST
112
LOMA LINDA, CA
ZIP 92357-000
Phone: (909) 825-7084
Fax: (909) 777-3291

The enumeration date for this NPI number is 4/13/2007 and was last updated on 2/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management	443868	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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