Gutierrez, Victoria

Gutierrez, Victoria is an individual health care provider with primary practice located at 2200 E Route 66 , Glendora CA 91740. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Gutierrez, Victoria can be contacted via phone (626) 859-2089.

Contact Information

Primary practice address
2200 E Route 66 Glendora CA 91740
Phone: (626) 859-2089
Fax: (626) 859-6537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X California

Profile Details

NPI number 1811352743
LBN Legal business name Gutierrez, Victoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2015
Last updated Feb 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811352743 NPPES
California MEDICAID 225400000X

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