Alfred Gutierrez
Licensed Vocational Nurse in Long Beach, CA. Individual provider (NPI-1).
NPI number1508355686
StatusActive
Last updated in NPPESJul 19, 2018
Details
- NPI
- 1508355686
- Entity type
- Individual (NPI-1)
- Name
- Alfred Gutierrez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2018
- Last updated
- Jul 19, 2018
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 |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 278189 | CA | Yes |
Practice location
1501 Hughes Way Ste 150Long Beach, CA 90810
Phone 310-221-6336 · Fax 310-221-6350
Mailing address
3919 W Hazard AveSanta Ana, CA 92703-2625
Other practice locations
3919 W Hazard Ave
Santa Ana, CA 92703-2625
Santa Ana, CA 92703-2625
Phone 800-970-3973
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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