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1538604392

NPI Code Detail

MEDICARE: DR. WENJI GUO MD

MEDICARE: DR. WENJI GUO MD

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	207R00000X	Internal Medicine Physician	125.076280	IL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RH0003X	Hematology & Oncology Physician	036165015	IL
4	207RX0202X	Medical Oncology Physician	209443	CA

General Provider Information

NPI Number	:	1538604392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENJI GUO MD

Provider Business Mailing Address
First Line	:	FILE 57326
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90074-7326
Country	:	US
Telephone Number	:	800-926-8273
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 W ARBOR DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-9000
Country	:	US
Telephone Number	:	800-926-8273
Fax Number	:	888-539-8781

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

Provider Enumeration Date	:	01/03/2017
Last Update Date	:	06/15/2026

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Directions to “ DR. WENJI GUO MD” Practice Location

Language	Start Address	Practice Location

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