Healthcare Provider Details

I. General information

NPI: 1538021936
Provider Name (Legal Business Name): JESSICA GUZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7725 LEEDS ST
DOWNEY CA
90242-3489
US

IV. Provider business mailing address

1207 DRUMM AVE
WILMINGTON CA
90744-2802
US

V. Phone/Fax

Practice location:
  • Phone: 562-445-3001
  • Fax:
Mailing address:
  • Phone: 323-358-3395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: