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NPI Code Detail

MEDICARE: OSCAR GUTIERREZ

MEDICARE: OSCAR 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
1225X00000XOccupational TherapistOT10576CA

General Provider Information

NPI Number : 1790630275
Entity Type Code : Individual
Provider Name (Legal Business Name) : OSCAR GUTIERREZ
Provider Business Mailing Address
First Line : 333 S BEAUDRY AVE FL 17
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-5105
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 S BEAUDRY AVE FL 17
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-5105
Country : US
Telephone Number : 818-445-0924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ OSCAR GUTIERREZ ” Practice Location

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