Organization
JORGE G. GUTIERREZ, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANGIE LARA (OFFICE MANAGER)
(760) 320-3383
Entity
Organization
Contact information
Practice address
1100 N PALM CANYON DR, STE 105, PALM SPRINGS, CA 92262-4414
(760) 320-3383
(760) 325-8546
Mailing address
1100 N PALM CANYON DR, STE 105, PALM SPRINGS, CA 92262-4414
(760) 320-3383
(760) 325-8546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A312330
CA
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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