Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ted Casillan Gutierrez

Individual provider Independent Duty Corpsman · NPI 1265776868

Ted Casillan Gutierrez is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

10226 Bordelon St
San Diego, CA 92124-3207
Phone: (858) 790-1088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1265776868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2012
Last updated in NPPESNovember 20, 2012

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