Provider Demographics
NPI:1902205461
Name:MALINTZE GUTIERREZ,D.O. INC
Entity Type:Organization
Organization Name:MALINTZE GUTIERREZ,D.O. INC
Other - Org Name:ORION HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MALINTZE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:559-222-9400
Mailing Address - Street 1:2920 F ST STE C5
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1829
Mailing Address - Country:US
Mailing Address - Phone:661-324-8348
Mailing Address - Fax:661-324-8349
Practice Address - Street 1:7012 RESEDA BLVD
Practice Address - Street 2:STE. F
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4219
Practice Address - Country:US
Practice Address - Phone:818-776-1171
Practice Address - Fax:818-304-7425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A11099111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty