MEDICARE: EVELYN GUEVARA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	18642	CA

General Provider Information

NPI Number	:	1316890312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN GUEVARA

Provider Business Mailing Address
First Line	:	6601 MALABAR ST APT N
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4061
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6720 MILES AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5012
Country	:	US
Telephone Number	:	323-588-8296
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ EVELYN GUEVARA ” Practice Location

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