Melissa Gutierrez Md, Corp. | |
150 N Robertson Blvd Ste 200 Beverly Hills CA 90211-2144 | |
(320) 652-9347 | |
Not Available |
Full Name | Melissa Gutierrez Md, Corp. |
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Speciality | Clinic/Center |
Location | 150 N Robertson Blvd Ste 200, Beverly Hills, California |
Authorized Official Name and Position | Melissa Marie Gutierrez (CEO) |
Authorized Official Contact | 6178942853 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Melissa Gutierrez Md, Corp. 1112 Ocean Park Blvd Apt C Santa Monica CA 90405-4756 Ph: () - | Melissa Gutierrez Md, Corp. 150 N Robertson Blvd Ste 200 Beverly Hills CA 90211-2144 Ph: (320) 652-9347 |
NPI Number | 1831784669 |
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Provider Enumeration Date | 03/03/2021 |
Last Update Date | 03/03/2021 |
Medicare PECOS PAC ID | 9830598796 |
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Medicare Enrollment ID | O20210525003163 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831784669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Melissa Marie Gutierrez |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578709499 PECOS PAC ID: 5597914002 Enrollment ID: I20190417001671 |
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