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NPI Code Detail

MEDICARE: BENINNO GUTIERREZ ORNELAS MSW

MEDICARE: BENINNO GUTIERREZ ORNELAS MSW
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
1104100000XSocial WorkerASW100415CA

General Provider Information

NPI Number : 1316136237
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENINNO GUTIERREZ ORNELAS MSW
Provider Business Mailing Address
First Line : 11731 TELEGRAPH RD STE K
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-6815
Country : US
Telephone Number : 562-942-8256
Fax Number :
Provider Business Practice Location Address
First Line : 11731 TELEGRAPH RD STE K
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-6815
Country : US
Telephone Number : 562-942-8256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2007
Last Update Date : 07/06/2023

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Directions to “ BENINNO GUTIERREZ ORNELAS MSW” Practice Location

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