Healthcare Provider Details

I. General information

NPI: 1356042360
Provider Name (Legal Business Name): LINDA HERRERA GUTIERREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13001 RAMONA BLVD STE E
IRWINDALE CA
91706-3752
US

IV. Provider business mailing address

13001 RAMONA BLVD STE E
IRWINDALE CA
91706-3752
US

V. Phone/Fax

Practice location:
  • Phone: 626-214-9016
  • Fax:
Mailing address:
  • Phone: 626-214-9016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number120680
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: