| Oscar Gutierrez, | |
|
8134 Van Nuys Blvd, Suite 200, Panorama City, CA 91402-4801 | |
| (818) 908-3820 | |
| (818) 908-3844 |
| Full Name | Oscar Gutierrez |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 8134 Van Nuys Blvd, Panorama City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235569591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW81778 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Oscar Gutierrez, 8134 Van Nuys Blvd, Suite 200, Panorama City, CA 91402-4801 Ph: (818) 908-3820 | Oscar Gutierrez, 8134 Van Nuys Blvd, Suite 200, Panorama City, CA 91402-4801 Ph: (818) 908-3820 |
Taylor Lewis, MSW, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14500 Roscoe Blvd Ste 400, Panorama City, CA 91402 Phone: 818-741-2906 | |
Morgan Chandler, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8215 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-855-2270 | |
Patricia Alba, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14500 Roscoe Blvd Ste 400, Panorama City, CA 91402 Phone: 818-835-3459 Fax: 818-935-6189 | |
Jennifer Diana Farfan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St Ste 281, Panorama City, CA 91402 Phone: 818-375-2977 | |
Kathleen M Cannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 Fax: 626-405-6768 | |
Sergio H Diaz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 Fax: 626-405-6768 |