Organization
ANACLETO GUTIERREZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANACLETO GUTIERREZ O.D.,M.P.H. (OWNER)
(916) 447-2020
Entity
Organization
Contact information
Practice address
2615 CAPITOL AVE, SACRAMENTO, CA 95816-5904
(916) 447-2020
(916) 447-2910
Mailing address
2615 CAPITOL AVE, SACRAMENTO, CA 95816-5904
(916) 447-2020
(916) 447-2910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5532TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0747430001
DMERIC
CA
01
—
152W00000X
TAXONOMIES
CA
01
—
1710901004
INDIVIDUAL NPI
CA
05
—
GSD0015301
—
CA
05
—
SD0055320
—
CA
Enumeration date
03/08/2007
Last updated
03/07/2023
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