| Jack Gutman Do Professional Corp | |
|
6200 E Canyon Rim Rd Ste 105b Anaheim CA 92807-4317 | |
| (714) 998-3627 | |
| (714) 998-1895 |
| Full Name | Jack Gutman Do Professional Corp |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6200 E Canyon Rim Rd, Anaheim, California |
| Authorized Official Name and Position | Jack H Gutman (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7149983627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Gutman Do Professional Corp 6200 E Canyon Rim Rd Ste 105b Anaheim CA 92807-4317 Ph: (714) 998-3627 | Jack Gutman Do Professional Corp 6200 E Canyon Rim Rd Ste 105b Anaheim CA 92807-4317 Ph: (714) 998-3627 |
| NPI Number | 1437451333 |
|---|---|
| Provider Enumeration Date | 11/28/2010 |
| Last Update Date | 11/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437451333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20A4188 (California) | Primary |
News Archive
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