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NPI Code Detail

MEDICARE: MRS. CECILIA GATCHALIAN GUTIERREZ MSN, RN

MEDICARE: MRS. CECILIA GATCHALIAN GUTIERREZ MSN, RN
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
1163WC1500XCommunity Health Registered Nurse557581CA
2163WA2000XAdministrator Registered Nurse557581CA

General Provider Information

NPI Number : 1265286611
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CECILIA GATCHALIAN GUTIERREZ MSN, RN
Provider Business Mailing Address
First Line : 815 S WILLOW AVE
Second Line :
City : RIALTO
State : CA
Zip : 92376-6934
Country : US
Telephone Number : 909-820-8150
Fax Number :
Provider Business Practice Location Address
First Line : 815 S WILLOW AVE
Second Line :
City : RIALTO
State : CA
Zip : 92376-6934
Country : US
Telephone Number : 909-820-8150
Fax Number : 909-820-8151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2024
Last Update Date : 04/12/2024

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Directions to “ MRS. CECILIA GATCHALIAN GUTIERREZ MSN, RN” Practice Location

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