Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PABLO GUTIERREZ R.D. (REGISTERED DIETITIAN)
(408) 821-7741
Entity
Organization
Contact information
Practice address
710 LAWRENCE EXPY, DEPT. 182, SANTA CLARA, CA 95051-5173
(408) 851-3805
Mailing address
7274 ALDER SPRING WAY, SAN JOSE, CA 95139-1303
(408) 821-7741
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1038721
CA
Other
Enumeration date
10/01/2012
Last updated
04/14/2021
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