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NPI Code Detail

MEDICARE: DANIELA GUTIERREZ

MEDICARE: DANIELA GUTIERREZ
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1447725346
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELA GUTIERREZ
Provider Business Mailing Address
First Line : 6644 GLADE AVE APT 216
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91303-2534
Country : US
Telephone Number : 818-917-7258
Fax Number :
Provider Business Practice Location Address
First Line : 21600 OXNARD ST STE 1030
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-5085
Country : US
Telephone Number : 877-206-1009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2018
Last Update Date : 10/06/2018

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Directions to “ DANIELA GUTIERREZ ” Practice Location

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