Gutierrez, Rolando

Gutierrez, Rolando is an individual health care provider with primary practice located at 30420 Haun Rd , Menifee CA 92584-6810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gutierrez, Rolando can be contacted via phone (951) 676-4193.

Contact Information

Primary practice address
30420 Haun Rd Menifee CA 92584-6810
Phone: (951) 676-4193
Fax: (951) 225-6865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A93879 California

Profile Details

NPI number 1104841212
LBN Legal business name Gutierrez, Rolando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Feb 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104841212 NPPES
California Other A93879 STATE MEDICAL LICENSE
California Other ZZZ54049Y STATE MEDICAL LICENSE
California MEDICAID 1104841212 STATE MEDICAL LICENSE
California MEDICAID 1316113145 STATE MEDICAL LICENSE

Popular Providers