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NPI Code Detail

MEDICARE: DANNY LEE GUTIERREZ JR.

MEDICARE: DANNY LEE GUTIERREZ JR.
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
1175T00000XPeer SpecialistCA

General Provider Information

NPI Number : 1396677662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANNY LEE GUTIERREZ JR.
Provider Business Mailing Address
First Line : 202 N 8TH ST FL 3
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-2302
Country : US
Telephone Number : 442-265-1586
Fax Number :
Provider Business Practice Location Address
First Line : 202 N 8TH ST FL 3
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-2302
Country : US
Telephone Number : 442-265-1586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ DANNY LEE GUTIERREZ JR. ” Practice Location

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