Organization
MARC GUTIN M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC S GUTIN M.D. (PRESIDENT)
(626) 335-8094
Entity
Organization
Contact information
Practice address
615 E FOOTHILL BLVD STE C, SAN DIMAS, CA 91773-1255
(626) 335-8094
Mailing address
615 E FOOTHILL BLVD STE C, SAN DIMAS, CA 91773-1255
(626) 335-8094
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G48699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G486990
—
CA
Enumeration date
01/17/2007
Last updated
11/12/2024
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