Individual
GUSTAVO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
902 N GRAND AVE STE 100, SANTA ANA, CA 92701-4223
(310) 386-6718
Mailing address
PO BOX 3504, TUSTIN, CA 92781-3504
(310) 386-6718
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
553198
CA
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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