Individual
BENGIE MILTON PICON GUTARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20151 NORDHOFF ST, CHATSWORTH, CA 91311-6215
(818) 407-3200
Mailing address
20151 NORDHOFF ST, CHATSWORTH, CA 91311-6215
(818) 407-3200
(818) 301-3101
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
07/27/2023
Last updated
05/08/2025
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