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Edward Richard Gutierrez
Student in an Organized Health Care Education/Training Program in Culver City, California
NPI 1174846463

Edward Richard Gutierrez is a Student in an Organized Health Care Education/Training Program based in Moorpark, CA. Edward Richard Gutierrez practices in Culver City, CA. The NPI Number for Edward Richard Gutierrez is 1174846463 and holds a License No. (California).

The current practice location address for Edward Richard Gutierrez is 4760 Sepulveda Blvd, Culver City, CA and can be reached out via phone at 310-390-6612.

Location: 4760 Sepulveda Blvd, Culver City, CA, 93021-3705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174846463
Provider Name
Edward Richard Gutierrez
Credential
Provider Entity Type
Individual
Gender
Male
Address
4760 Sepulveda Blvd, Culver City, CA, 93021-3705
Phone Number
310-390-6612
Fax Number
Provider Enumeration Date
03/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4760 Sepulveda Blvd
City
Culver City
State
California
Zip
90230-4820
Phone Number
310-390-6612
Fax Number
person
Provider Business Mailing Address Details
Address
4760 Sepulveda Blvd
City
Culver City
State
California
Zip
90230-4820
Phone Number
310-390-6612
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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