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NPI Code Detail

MEDICARE: FERNANDO GUTIERREZ BEJAR

MEDICARE: FERNANDO GUTIERREZ BEJAR
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
1106H00000XMarriage & Family TherapistAMFT108272CA

General Provider Information

NPI Number : 1558885848
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERNANDO GUTIERREZ BEJAR
Provider Business Mailing Address
First Line : 2101 COURAGE DR
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-6717
Country : US
Telephone Number : 650-704-8980
Fax Number :
Provider Business Practice Location Address
First Line : 2101 COURAGE DR
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-6717
Country : US
Telephone Number : 650-704-8980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2017
Last Update Date : 01/09/2026

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Directions to “ FERNANDO GUTIERREZ BEJAR ” Practice Location

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