Healthcare Provider Details

I. General information

NPI: 1760367080
Provider Name (Legal Business Name): KIMBERLY GUZMAN MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N BROOKHURST ST
ANAHEIM CA
92801-3832
US

IV. Provider business mailing address

501 N CRESCENT WAY N/A
ANAHEIM CA
92801-5401
US

V. Phone/Fax

Practice location:
  • Phone: 714-287-2599
  • Fax:
Mailing address:
  • Phone: 714-999-3511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: