Healthcare Provider Details

I. General information

NPI: 1386951424
Provider Name (Legal Business Name): NANCY NAVARRO GUZMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2010
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17660 LAKEWOOD BLVD
BELLFLOWER CA
90706
US

IV. Provider business mailing address

17660 LAKEWOOD BLVD
BELLFLOWER CA
90706-6410
US

V. Phone/Fax

Practice location:
  • Phone: 562-924-8596
  • Fax:
Mailing address:
  • Phone: 562-264-2835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number70879
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: