Provider Demographics
NPI:1740143817
Name:GUTTIKONDA, INC.
Entity type:Organization
Organization Name:GUTTIKONDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAKHESH
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTTIKONDA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:619-470-4325
Mailing Address - Street 1:655 EUCLID AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-2966
Mailing Address - Country:US
Mailing Address - Phone:619-470-4325
Mailing Address - Fax:619-472-4538
Practice Address - Street 1:655 EUCLID AVE STE 200
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2966
Practice Address - Country:US
Practice Address - Phone:619-470-4325
Practice Address - Fax:619-472-4538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital