Crystal Kay Gutierrez
Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1154071017
StatusActive
Last updated in NPPESMar 24, 2022
Details
- NPI
- 1154071017
- Entity type
- Individual (NPI-1)
- Name
- Crystal Kay Gutierrez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2022
- Certification date
- Mar 24, 2022
- Last updated
- Mar 24, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | L9696 | CA | Yes |
Practice location
5015 Canyon Crest Dr Ste 201Riverside, CA 92507-6020
Phone 951-363-9806
Mailing address
5015 Canyon Crest Dr Ste 201Riverside, CA 92507-6020
Phone 951-363-9806
Is something wrong?
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Other Technician providers in Riverside, CA
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