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

JACK H GUTMAN, D.O.

Active Sole Proprietor

JACK H GUTMAN, D.O. is a Sports Medicine healthcare provider located in ANAHEIM, California. NPI 1578609160 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · ANAHEIM, CA

Registration Details

NPI Number
1578609160
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2007 (19.49369043055 yrs)
Last Updated
Jul 8, 2007
License
20A4188 (CA)
Sole Proprietor
Yes

Practice Information

Address
6200 E CANYON RIM RD
STE 105B
ANAHEIM, CA, 928074317
Browse CA providers · Browse ZIP 92807
Phone
7149983627
Primary Specialty
Sports Medicine
207QS0010X

Other Sports Medicine Providers in ANAHEIM, CA

Name Credential NPI
DR. DAVID TODD ASHER M.D. 1275578304
DAVID WILLIAM KRUSE MD 1891993150
ERIC WU 1497319149
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.