Healthcare Provider Details

I. General information

NPI: 1194684282
Provider Name (Legal Business Name): FRANCIS MARTIN DE GUZMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 W CARA DR
ANAHEIM CA
92805-6577
US

IV. Provider business mailing address

1530 W CARA DR BLDG 15
ANAHEIM CA
92805-6577
US

V. Phone/Fax

Practice location:
  • Phone: 888-350-6599
  • Fax:
Mailing address:
  • Phone: 310-961-8189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95036670
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: