Evalyn Blakely Gomez

NPI 1679220453 · on the registry since 2022

Practice

Address: 25910 Acero Ste 160
Mission Viejo, CA 92691
Phone: (877) 564-8974
Organisation at this address: South Coast Community Services
South Coast Children'S Society, Inc
South Coast Children'S Society, Inc
Genezen Home Health Care Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: 104100000X
104100000X
Also registered as: 106S00000X
225400000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-09-08

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