Individual
DR. JACOB JAMES GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
631A MAPLE AVE, LOS ANGELES, CA 90014-2211
(213) 673-3049
Mailing address
PO BOX 920, ARTESIA, CA 90702-0920
(213) 673-3084
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A163989
CA
Other
Enumeration date
06/25/2018
Last updated
03/27/2024
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