Individual
DR. ABIGAYLE ANCHETA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
120 W BONITA AVE STE A, SAN DIMAS, CA 91773-5000
(909) 599-1100
Mailing address
13262 BALLESTROS AVE, CHINO, CA 91710-3979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33726TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A32017
EYEMED
CA
Enumeration date
06/30/2017
Last updated
09/09/2021
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