Edward Richard Gutierrez, is a
Student In An Organized Health Care Education/training Program based in Culver City, California. Edward Richard Gutierrez is licensed to practice in * (Not Available) (license number ) and his current practice location is
4760 Sepulveda Blvd, Culver City, California. He can be reached at his office (for appointments etc.) via phone at
(310) 390-6612.
NPI number for Edward Richard Gutierrez is 1174846463 and his current mailing address is 11490 Amberridge Ct, Moorpark, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174846463.
Healthcare Provider's Profile
| Full Name | Edward Richard Gutierrez |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4760 Sepulveda Blvd, Culver City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174846463
- Provider Enumeration Date: 03/01/2010
- Last Update Date: 09/14/2023
Medical Identifiers
Medical identifiers for Edward Richard Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174846463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Richard Gutierrez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edward Richard Gutierrez,
11490 Amberridge Ct,
Moorpark, CA 93021-3705
Ph: (805) 765-9050 | Edward Richard Gutierrez,
4760 Sepulveda Blvd,
Culver City, CA 90230-4820
Ph: (310) 390-6612 |
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