Miguel Angel Gutierrez, MD | |
200 Medical Plaza, #450, Los Angeles, CA 90095-3075 | |
(310) 825-0631 | |
Not Available |
Full Name | Miguel Angel Gutierrez |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 23 Years |
Location | 200 Medical Plaza, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528092418 | NPI | - | NPPES |
00A913830 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A91383 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Institute | 5991609737 | 293 |
Entity Name | Providence Medical Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
Mailing Address | Practice Location Address |
---|---|
Miguel Angel Gutierrez, MD 5767 W. Century Blvd, #400, Los Angeles, CA 90045-5655 Ph: (310) 825-0631 | Miguel Angel Gutierrez, MD 200 Medical Plaza, #450, Los Angeles, CA 90095-3075 Ph: (310) 825-0631 |
Nada M Elbuluk, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 2000, Los Angeles, CA 90033 Phone: 323-442-6200 | |
Leonard H Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2080 Century Park E Ste 401, Los Angeles, CA 90067 Phone: 310-289-0009 Fax: 844-331-1307 | |
Rachael Lynn Cayce, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1127 Wilshire Blvd, Ste 600, Los Angeles, CA 90017 Phone: 213-278-0021 Fax: 213-278-0973 | |
Dr. Neda R Black, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1441 Eastlake Ave, Topping Tower, Suite 3405, Los Angeles, CA 90089 Phone: 818-634-2514 | |
Marie-josee Thibault, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045 Phone: 310-301-8708 Fax: 310-301-8751 | |
Dr. Kiyoung Yoo, MD Dermatology Medicare: Medicare Enrolled Practice Location: Ucla Dermatology 52-121 Chs 10833 Le Conte, Los Angeles, CA 90095 Phone: 310-825-5420 | |
Dr. Eric Joel Meinhardt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11645 Wilshire Blvd, Suite 1080, Los Angeles, CA 90025 Phone: 310-275-1170 Fax: 310-275-1076 |