Rodolfo Gutierrez Angel I, MSW, ASW is a
Social Worker based in San Dimas, California. Rodolfo Gutierrez Angel I is licensed to practice in California (license number 97574) and his current practice location is
180 Via Verde Ste 200, San Dimas, California. He can be reached at his office (for appointments etc.) via phone at
(909) 599-1277.
NPI number for Rodolfo Gutierrez Angel I is 1689277469 and his current mailing address is Po Box 111790, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689277469.
Healthcare Provider's Profile
| Full Name | Rodolfo Gutierrez Angel I |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 180 Via Verde Ste 200, San Dimas, 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: 1689277469
- Provider Enumeration Date: 11/16/2020
- Last Update Date: 04/05/2024
Medical Identifiers
Medical identifiers for Rodolfo Gutierrez Angel I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689277469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 97574 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 97574 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 97574 (California) | Secondary |
| 104100000X | Social Worker | 97574 (California) | 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. Rodolfo Gutierrez Angel I 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 |
|---|
Rodolfo Gutierrez Angel I, MSW, ASW
Po Box 111790,
Los Angeles, CA 90011-9790
Ph: (917) 808-8517 | Rodolfo Gutierrez Angel I, MSW, ASW
180 Via Verde Ste 200,
San Dimas, CA 91773-3993
Ph: (909) 599-1277 |
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