Healthcare Provider Details

I. General information

NPI: 1376467167
Provider Name (Legal Business Name): ALEXANDER KEVIN LAGUARDIA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 W EAST AVE
CHICO CA
95926-7238
US

IV. Provider business mailing address

614 S BUSINESS IH 35 STE C PMB #53
NEW BRAUNFELS TX
78130-4748
US

V. Phone/Fax

Practice location:
  • Phone: 530-332-6138
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: