Individual
YESSENIA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6601 RUGBY AVE, 401, HUNTINGTON PARK, CA 90255-4040
(323) 589-5000
Mailing address
6601 RUGBY AVE, 401, HUNTINGTON PARK, CA 90255-4040
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT291097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT291097
STATE LICENSE NUMBER
CA
Enumeration date
12/15/2016
Last updated
12/15/2016
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