Active NPI
Wingshan Lo-Gomez DO Inc
- Family Medicine Physician
- Costa Mesa, CA
National Provider Identifier
1285196949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WINGSHAN LO-GOMEZ DO INC
- Practice address
- 2900 Bristol St Ste C101
Costa Mesa, CA 92626-5943 - Phone
- (424) 218-6015
- NPI assigned
- Apr 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wingshan Lo-Gomez, DO
- Title
- President Ceo
- Phone
- (424) 218-6015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2900 Bristol St Ste C101
Costa Mesa, CA 92626-5943
Mailing address
2900 Bristol St Ste C101
Costa Mesa, CA 92626-5943
Phone (424) 218-6015
Other names 2
- Glo Health
- Glo Health DO
National Provider Directory
National Provider DirectoryLocations
2900 Bristol St
Ste C101
Costa Mesa, CA 92626
Phone (424) 218-6015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1285196949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 BRISTOL ST STE C101",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265943",
"telephone_number": "424-218-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 BRISTOL ST STE C101",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265943",
"telephone_number": "424-218-6015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINGSHAN LO-GOMEZ DO INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-02",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "LO-GOMEZ",
"authorized_official_first_name": "WINGSHAN",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "424-218-6015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Glo Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Glo Health DO",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Glo Health DO",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.