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NPI Code Detail

MEDICARE: DANIELA PEREZ GUTIERREZ

MEDICARE: DANIELA PEREZ 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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1730049628
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELA PEREZ GUTIERREZ
Provider Business Mailing Address
First Line : 1910 LONE OAK RD
Second Line :
City : BRENTWOOD
State : CA
Zip : 94513-2048
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3301 E 12TH ST STE 259
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2940
Country : US
Telephone Number : 510-269-9030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2025
Last Update Date : 01/10/2026

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Directions to “ DANIELA PEREZ GUTIERREZ ” Practice Location

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