Individual
JUDY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9640 VENICE BLVD, CULVER CITY, CA 90232-2626
(310) 963-0365
(310) 496-3101
Mailing address
9640 VENICE BLVD, CULVER CITY, CA 90232-2626
(310) 905-4581
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95022629
CA
Other
Enumeration date
03/22/2023
Last updated
03/27/2024
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