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NPI Code Detail

MEDICARE: CARINA D GUTIERREZ PPS

MEDICARE: CARINA D GUTIERREZ PPS
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
1101YS0200XSchool Counselor

General Provider Information

NPI Number : 1821888447
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARINA D GUTIERREZ PPS
Provider Business Mailing Address
First Line : 515 W COLLEGE AVE
Second Line :
City : LOMPOC
State : CA
Zip : 93436-4401
Country : US
Telephone Number : 805-742-3113
Fax Number :
Provider Business Practice Location Address
First Line : 515 W COLLEGE AVE
Second Line :
City : LOMPOC
State : CA
Zip : 93436-4401
Country : US
Telephone Number : 805-742-3113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2025
Last Update Date : 05/07/2025

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Directions to “ CARINA D GUTIERREZ PPS” Practice Location

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