Organization
ELITE SYMMETRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS GUTIERREZ (OWNER)
(949) 202-7634
Entity
Organization
Contact information
Practice address
15 MONTGOMERY, IRVINE, CA 92604-1928
(949) 202-7634
Mailing address
PO BOX 10982, WESTMINSTER, CA 92685-0982
(949) 202-7634
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/12/2024
Last updated
07/17/2024
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