MEDICARE: SERGIO GUTIERREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	373H00000X	Day Training/Habilitation Specialist		CA
2	172V00000X	Community Health Worker	652824LICNUM	CA

General Provider Information

NPI Number	:	1285284141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERGIO GUTIERREZ

Provider Business Mailing Address
First Line	:	11303 W WASHINGTON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-6003
Country	:	US
Telephone Number	:	213-302-9822
Fax Number	:

Provider Business Practice Location Address
First Line	:	11303 W WASHINGTON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-6003
Country	:	US
Telephone Number	:	213-304-9822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2019
Last Update Date	:	05/26/2026

Similar Medicare Providers

1114215217 — MAYRA ALEJANDRA HERNANDEZ LCSW
Practice Location Address:

11303 W WASHINGTON BLVD STE 200
LOS ANGELES, CA
90066-6003

Practice Phone: 310-482-3200
Practice Fax:

1972460434 — WHA SONG (JAMES) YANG PH.D
Practice Location Address:

11303 W WASHINGTON BLVD FL 2
LOS ANGELES, CA
90066-6003

Practice Phone: 213-364-1191
Practice Fax:

1861441602 — UC REGENTS UCLA DEPARTMENT OF MEDICINE PROF GROUP
Practice Location Address:

11303 W WASHINGTON BLVD , #100
LOS ANGELES, CA
90066-6003

Practice Phone: 310-391-7281
Practice Fax:

1629014329 — NAZANIN YAGHMAI MD
Practice Location Address:

11303 W WASHINGTON BLVD STE 100
LOS ANGELES, CA
90066-6003

Practice Phone: 310-301-7396
Practice Fax:

1962418228 — LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Practice Location Address:

11303 W. WASHINGTON BLVD. , SUITE 200
LOS ANGELES, CA
90066-6003

Practice Phone: 310-482-6600
Practice Fax: 310-313-0813

1235145475 — LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Practice Location Address:

11303 W WASHINGTON BLVD , SUITE 200
LOS ANGELES, CA
90066-6003

Practice Phone: 310-268-2560
Practice Fax:

Directions to “ SERGIO GUTIERREZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.