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Contact Information

DIANA GUTIERREZ
9650 ZELZAH AVE
NORTHRIDGE, CA91325
 Phone: 818-993-9311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DIANA GUTIERREZ · (Female)

NPI Number 1104345834
Status Active
Credentials
Entity Individual
Enumeration date 09/13/2017
Last updated 05/05/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # ASW83571
  • CA License # LCSW101114
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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