MEDICARE: EDWIN ALAN GUTIERREZ MENDEZ

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1861110595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWIN ALAN GUTIERREZ MENDEZ

Provider Business Mailing Address
First Line	:	8616 LA TIJERA BLVD STE 408
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3950
Country	:	US
Telephone Number	:	310-337-7827
Fax Number	:

Provider Business Practice Location Address
First Line	:	8616 LA TIJERA BLVD STE 408
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3950
Country	:	US
Telephone Number	:	310-337-7827
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	06/30/2025

Similar Medicare Providers

1003072786 — DR. TAREK ALASIL MD
Practice Location Address:

8616 LA TIJERA BLVD STE 404
LOS ANGELES, CA
90045-3950

Practice Phone: 310-673-2020
Practice Fax: 310-469-5290

1538400585 — SONIA VENEGAS MEZQUITA PHD
Practice Location Address:

8616 LA TIJERA BLVD STE 408
LOS ANGELES, CA
90045-3950

Practice Phone: 310-337-7827
Practice Fax:

1346633401 — RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
Practice Location Address:

8616 LA TIJERA BLVD STE 404
LOS ANGELES, CA
90045-3950

Practice Phone: 310-673-2020
Practice Fax: 310-649-5290

1760088355 — JUNG FENG CHIU BCBA
Practice Location Address:

8616 LA TIJERA BLVD STE 408
LOS ANGELES, CA
90045-3950

Practice Phone: 310-337-7827
Practice Fax:

1487366910 — JOSE ESCOBAR
Practice Location Address:

8616 LA TIJERA BLVD STE 408
LOS ANGELES, CA
90045-3950

Practice Phone: 310-337-7827
Practice Fax:

1528765898 — STEVEN ALMADA
Practice Location Address:

8616 LA TIJERA BLVD STE 408
LOS ANGELES, CA
90045-3950

Practice Phone: 310-337-7827
Practice Fax:

Directions to “ EDWIN ALAN GUTIERREZ MENDEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.