MEDICARE: YESSENIA GUTIERREZ PT

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	208100000X	Physical Medicine & Rehabilitation Physician	PT291097	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT291097	OTHER	CA	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1912441643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YESSENIA GUTIERREZ PT

Provider Business Mailing Address
First Line	:	6601 RUGBY AVE
Second Line	:	401
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4040
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 RUGBY AVE
Second Line	:	401
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4040
Country	:	US
Telephone Number	:	323-589-5000
Fax Number	:

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

Provider Enumeration Date	:	12/15/2016
Last Update Date	:	12/15/2016

Similar Medicare Providers

1588659197 — LEONARDO C QUILANG MD
Practice Location Address:

6601 RUGBY AVE , #300
HUNTINGTON PARK, CA
90255-4040

Practice Phone: 323-582-1177
Practice Fax: 323-589-2635

1164532446 — DR. JUVENTINO VILLANUEVA
Practice Location Address:

6601 RUGBY AVE , 300
HUNTINGTON PARK, CA
90255-4040

Practice Phone: 323-582-1177
Practice Fax: 323-589-2635

1255441697 — DR. WALFREDO INIGUEZ M.D.
Practice Location Address:

6601 RUGBY AVE , 300
HUNTINGTON PARK, CA
90255-4040

Practice Phone: 323-582-1177
Practice Fax: 323-589-2635

1508989500 — CROWN CITY MEDICAL GROUP INC
Practice Location Address:

6601 RUGBY AVE , # 300
HUNTINGTON PARK, CA
90255-4040

Practice Phone: 323-582-1177
Practice Fax: 323-589-2635

1396949541 — SIDERMAN, YAMPOLSKY DENTAL CORPORATION
Practice Location Address:

6601 RUGBY AVE , #400
HUNTINGTON PARK, CA
90255-4040

Practice Phone: 323-585-1515
Practice Fax:

1508363714 — VASCULAR INTERVENTIONAL GROUP, INC.
Practice Location Address:

6601 RUGBY AVE STE 100
HUNTINGTON PARK, CA
90255-4040

Practice Phone: 818-949-2631
Practice Fax: 818-691-2932

Directions to “ YESSENIA GUTIERREZ PT” 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.