Individual
MIGUEL ANGEL GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #450, LOS ANGELES, CA 90095-3075
(310) 825-0631
Mailing address
5767 W. CENTURY BLVD, #400, LOS ANGELES, CA 90045-5655
(310) 825-0631
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A91383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A913830
—
CA
Enumeration date
07/10/2006
Last updated
09/13/2021
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