Individual
LISA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1828 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2400
(323) 987-1200
Mailing address
1828 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23361
CA
Other
Enumeration date
09/18/2013
Last updated
10/09/2017
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