Individual
CYNTHIA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 WILSHIRE BLVD STE 673, LOS ANGELES, CA 90017
(805) 698-0544
Mailing address
PO BOX 862134, LOS ANGELES, CA 90086-2134
(805) 698-0544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A140716
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG3232267556
—
CA
Enumeration date
04/08/2014
Last updated
08/28/2019
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