IndividualActive
Edward Gutierrez
NPI 1174846463 · Student in an Organized Health Care Education/Training Program · Culver City, CA
Provider details
- NPI number
- 1174846463
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone: (310) 390-6612
Street-level locationGet directions
Mailing address
11490 Amberridge Ct
Moorpark, CA 93021-3705
Additional practice locations (1)
- 975 Flynn RdCamarillo, CA 93012-8704Phone: (805) 388-7740
Registry dates
- Enumerated
- 2010-03-01
- Last updated
- 2023-09-14
- Certified
- 2023-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.