Jacqueline Gutierrez
Individual provider Active NPI Case Manager/Care Coordinator · View Park, CA
NPI 1861851982 · NPPES record last updated Feb 17, 2016
Key facts
- NPI
- 1861851982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 5300 Angeles Vista Blvd
View Park, CA 90043-1648 - Phone
- (323) 295-4544
- Fax
- (323) 508-0150
- NPI assigned
- Feb 17, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
5300 Angeles Vista Blvd
View Park, CA 90043-1648
Mailing address
5300 Angeles Vista Blvd
View Park, CA 90043-1648
Phone (323) 295-4544
Other providers in View Park, CA
- Ria Glassman
- Ana Belen Gomez
- Genesis Gonzalez
- Meghan Gorden
- June Carole Gordon
- Reginald Haley
- Farida Khamis Hamdaan
- Christie Harris
- Timothy Harris
- Rahnia Hassan
All providers in View Park, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.