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

JASMINE GUTIERREZ

Active Sole Proprietor

Medical Specialty Clinic · VICTORVILLE, CA

Registration Details

NPI Number
1154996965
Provider Type
Individual
Gender
Female
NPI Issued
May 24, 2021 (4.9099186677137 yrs)
Last Updated
May 24, 2021
Sole Proprietor
Yes

Practice Information

Address
15573 PEACE PIPE ST
VICTORVILLE, CA, 923946705
Browse CA providers · Browse ZIP 92394
Phone
9515257000
Primary Specialty
Medical Specialty Clinic
261QM2500X
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.