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Individual

MR. GUSTAVO GUTIERREZ LOZANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
210 S DE LACEY AVE STE 110, PASADENA, CA 91105-2074
(626) 395-7100
(626) 395-7270
Mailing address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001-4925
(626) 798-6793

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
03/27/2009
Last updated
03/25/2022
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