Individual
JACK H GUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6200 E CANYON RIM RD, STE 105B, ANAHEIM, CA 92807-4317
(714) 998-3627
Mailing address
6200 E CANYON RIM RD, STE 105B, ANAHEIM, CA 92807-4317
(714) 998-3627
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20A4188
CA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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