Individual ProviderBrenda GutierrezPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1200 North State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029(323) 409-5555PECOS EnrollmentBased on the most recent information from CMS, provider Brenda Gutierrez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1568166973Provider TypeIndividualFull NameGutierrez, BrendaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/29/2023Last Updated9/19/2024Contact InformationPractice LocationPractice Address1200 North State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029Phone(323) 409-5555FaxUnlisted FaxMailing LocationMailing Address1200 North State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033Phone(323) 409-5555FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA196527CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer