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NPI Code Detail

MEDICARE: ROBERT C GUTIERREZ MD

MEDICARE: ROBERT C GUTIERREZ MD
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
1207XS0106XOrthopaedic Hand Surgery Physician9799NV

General Provider Information

NPI Number : 1174581128
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT C GUTIERREZ MD
Provider Business Mailing Address
First Line : 1741 WELLESLEY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-3633
Country : US
Telephone Number : 702-940-4263
Fax Number : 702-940-4265
Provider Business Practice Location Address
First Line : 1741 WELLESLEY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-3633
Country : US
Telephone Number : 702-940-4263
Fax Number : 702-940-4265
Authorized Official
Title or Position : OWNER
Name : ROBERT C GUTIERREZ
Credential : MD
Telephone Number : 702-940-4263
Provider Enumeration Date : 05/01/2006
Last Update Date : 04/24/2026

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