# MICHELLE RENEE GUTIERREZ-MENDOZA, M.D., INC., A PROF MED CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467695189
- **Authorized official:** DR. MICHELLE RENEE GUTIERREZ-MENDOZA MD (PHYSICIAN)
- **Authorized official phone:** (619) 727-3451

## Contact information

- **Practice address:** 4020 FIFTH AVENUE, MER 14, SAN DIEGO, CA 92103-2180
- **Practice address phone:** (619) 686-3577
- **Practice address fax:** (619) 260-7310
- **Mailing address:** 1010 UNIVERSITY AVE, \#1672, SAN DIEGO, CA 92103-3395
- **Mailing address phone:** (619) 727-3451
- **Mailing address fax:** (619) 260-7310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NW0100X | Women's Hospital | A90028 | CA | Yes |

## Other

- **Enumeration date:** 04/10/2009
- **Last updated:** 08/27/2009