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Kenneth Jutzy

Interventional Cardiology Internist - Cardiovascular Disease

11234 Anderson St #1617
Loma Linda , California 92354-2804

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Kenneth Jutzy

Interventional Cardiology Internist - Cardiovascular Disease

11234 Anderson St #1617
Loma Linda , California 92354-2804

(909) 558-3111

Write a Review Save Call

Kenneth Jutzy

Interventional Cardiology Internist - Cardiovascular Disease

11234 Anderson St #1617
Loma Linda , California 92354-2804

(909) 558-3111 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist - Cardiovascular Disease
  • Interventional Cardiology

Languages spoken

  • English

Location

11234 Anderson St #1617 Loma Linda , California 92354-2804

First Address

  • Kenneth Jutzy
  • File # 54701
  • Los Angeles, CA
  • Zip : 90074-4701
  • Phone : (909) 558-3111

Second Address

  • Kenneth Jutzy
  • 11234 Anderson St #1617
  • Loma Linda, CA
  • Zip : 92354-2804
  • Phone : (909) 558-8591

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FAQs


Where did Kenneth Jutzy attend graduate school?

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Where did Kenneth Jutzy do his residency?

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Where did Kenneth Jutzy do his fellowship?

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Is Kenneth Jutzy board certified?

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What type of doctor is Kenneth Jutzy

Interventional Cardiology

In what state does Kenneth Jutzy practice in?

California

Where is Kenneth Jutzy ’s practice located?

11234 Anderson St #1617 , Loma Linda, California, 92354-2804

What is Kenneth Jutzy ’s gender?

Male

Is Kenneth Jutzy a sole practitioner?

No

Is Kenneth Jutzy accepting new patients?

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What languages does Kenneth Jutzy speak?

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Does Kenneth Jutzy accept insurance?

Yes, Kenneth Jutzy accepts insurance

Does Kenneth Jutzy offers telemedicine?

Kenneth Jutzy has not indicated if he offers telemedicine

What is Kenneth Jutzy ’s professional license number?

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What is Kenneth Jutzy ’s NPI number?

1073531802

Does Kenneth Jutzy have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207RC0000X Internist - Cardiovascular Disease G37876 CA
Y 207RI0011X Interventional Cardiology G37876 CA

National Provider Identifier

NPI 1073531802
Provider Name Kenneth Jutzy
First Address Los Angeles, CA 90074-4701
Second Address Loma Linda, CA 92354-2804
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 18/07/2006
Last Update Date 12/04/2010

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
00G378760 (05) CA
A47264 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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