Individual
MS. EDITH GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S. VERMONT AVE. LA COUNTY DEPT OF MENTAL HEALTH, 3RD FLOOR, LOS ANGELES, CA 90020
(213) 738-4964
(213) 384-0729
Mailing address
550 S. VERMONT, 3RD FLOOR, LOS ANGELES, CA 90020
(213) 738-4964
(213) 384-0729
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
495502
EMPLOYEE ID
CA
Enumeration date
11/06/2006
Last updated
06/17/2014
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