Provider Information
Last Updated: Nov 24 2025 4:22 PM
Stacie M Gomez
City La Mesa |
Group Premier Patient Care IPA |
Specialty Occupational Therapist |
Last Name Gomez |
First Name Stacie |
Middle Name M |
Address 5905 Severin Dr |
State CA |
Zip Code 91942-3806 |
Phone (619) 589-2606 |
Hours Mon& Wed 8AM-5:30PM, Tues & Thurs 7:30-5PM |
Gender F |
Title OT |
Section Number 4 |
County San Diego |
Accepting New Patient Yes |
NPI Number 1073387924 |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID 25584 |
Email credentialing@prnpt.com |
Board Certified No |
Office Language Spanish |
Panel Status E |
