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Individual

JUAN RAUL GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1030 INTERNATIONAL AVE., OAKLAND, CA 94606-3730
(415) 476-5001
(415) 476-4009
Mailing address
1601 FRUITVALE AVE., OAKLAND, CA 94601
(510) 535-4000
(510) 535-4128

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A108242
CA

Other

Enumeration date
06/10/2009
Last updated
01/12/2012
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