# LUIS ALBERTO CHAVIEDO GUTIERREZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1518423755
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZC0007X | Surgical Assistant | 18-529 | WI | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | PTL18357 | CA | Yes |

## Other

- **Enumeration date:** 02/12/2019
- **Last updated:** 09/30/2025
