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Organization

JACK GUTMAN DO PROFESSIONAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK H GUTMAN D.O. (PHYSICIAN/OWNER)
(714) 998-3627
Entity
Organization

Contact information

Practice address
6200 E CANYON RIM RD, STE 105B, ANAHEIM, CA 92807-4317
(714) 998-3627
(714) 998-1895
Mailing address
6200 E CANYON RIM RD, STE 105B, ANAHEIM, CA 92807-4317
(714) 998-3627
(714) 998-1895

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A4188
CA

Other

Enumeration date
11/28/2010
Last updated
11/28/2010
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