DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL GUTIERREZ

Active Sole Proprietor

MICHAEL GUTIERREZ is a Van Provider healthcare provider located in UKIAH, California. NPI 1003464546 is currently active in the NPPES registry. Verify at CMS.

Van Provider · UKIAH, CA

Registration Details

NPI Number
1003464546
Provider Type
Individual
Gender
Male
NPI Issued
Aug 28, 2019 (6.958652343047 yrs)
Last Updated
Aug 28, 2019
License
A5435510 (CA)
Sole Proprietor
Yes

Practice Information

Address
342 WABASH AVE
UKIAH, CA, 954826316
Browse CA providers · Browse ZIP 95482
Phone
7072723901
Primary Specialty
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.