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Individual

DR. CARMEN GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
947 S ANAHEIM BLVD, SUITE 270, ANAHEIM, CA 92805-5582
(714) 535-1415
(714) 635-6771
Mailing address
947 S ANAHEIM BLVD, SUITE 270, ANAHEIM, CA 92805-5582
(714) 535-1415
(714) 635-6771

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A73862
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A7386200
CA
05
GR0090750
CA
Enumeration date
06/12/2006
Last updated
12/01/2021
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