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ERASTO GUTIERREZ MD INC NPI 1790324481


NPI Information

NPI: 1790324481
Provider Name: ERASTO GUTIERREZ MD INC

Doing Business As: POMONA URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2180704

Address:
1749 N GAREY AVE STE 101
POMONA, CA
ZIP 91767
Phone: (909) 729-5079
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ERASTO GUTIERREZ MD INC is an urgent care clinic center in Pomona, CA. ERASTO GUTIERREZ MD INC NPI is 1790324481. The provider is registered as an organization entity type.
The provider Is Doing Business As Pomona Urgent Care.

The provider's business location address is:

1749 N GAREY AVE STE 101
POMONA, CA
ZIP 91767-913
Phone: (909) 729-5079
Fax: (909) 729-5081

The provider's authorized official is Archie Trinidad .
The authorized official title is Manager and has the following contact phone number (909) 729-5079.

The CLIA number assigned to this NPI record is 05D2180704 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 12/30/2019 and was last updated on 5/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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