| Marc Gutin M D Inc | |
|
615 E Foothill Blvd Ste C San Dimas CA 91773-1255 | |
| (626) 335-8094 | |
| Not Available |
| Full Name | Marc Gutin M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 615 E Foothill Blvd Ste C, San Dimas, California |
| Authorized Official Name and Position | Marc S Gutin (PRESIDENT) |
| Authorized Official Contact | 6263358094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Gutin M D Inc 615 E Foothill Blvd Ste C San Dimas CA 91773-1255 Ph: (626) 335-8094 | Marc Gutin M D Inc 615 E Foothill Blvd Ste C San Dimas CA 91773-1255 Ph: (626) 335-8094 |
| NPI Number | 1043362544 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 11/12/2024 |
| Medicare PECOS PAC ID | 0547279341 |
|---|---|
| Medicare Enrollment ID | O20060405000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043362544 | NPI | - | NPPES |
| 00G486990 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | G48699 (California) | Primary |
| Provider Name | Marc Gutin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861423709 PECOS PAC ID: 3072522879 Enrollment ID: I20060405000675 |
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