Individual provider · Type 1 NPI

Edward Richard Gutierrez

Student in an Organized Health Care Education/Training Program · Culver City, CA

NPI number 1174846463 Active

Practice location

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Call (310) 390-6612 Map

Mailing address

11490 Amberridge Ct
Moorpark, CA 93021-3705

Other practice locations

  • 975 Flynn Rd, Camarillo, CA 93012-8704 · (805) 388-7740

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1174846463

Edward Richard Gutierrez's National Provider Identifier is 1174846463, issued on Mar 1, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Culver City, CA. The record was last updated on Sep 14, 2023.