1679768865 NPI number — DR. MA HAZEL LYN GUTIERREZ GAVINO MD

Table of content: DR. MA HAZEL LYN GUTIERREZ GAVINO MD (NPI 1679768865)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679768865 NPI number — DR. MA HAZEL LYN GUTIERREZ GAVINO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GAVINO
Provider First Name:
MA HAZEL LYN
Provider Middle Name:
GUTIERREZ
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679768865
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/23/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7211 W DESCHUTES AVE
Provider Second Line Business Mailing Address:
STE E
Provider Business Mailing Address City Name:
KENNEWICK
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99336-7715
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-586-1157
Provider Business Mailing Address Fax Number:
509-582-4189

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
721 S AUBURN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENNEWICK
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99336-5665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-737-1878
Provider Business Practice Location Address Fax Number:
509-737-1879
Provider Enumeration Date:
09/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  4301090727 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com