Healthcare Provider Details

I. General information

NPI: 1871476168
Provider Name (Legal Business Name): KIMBERLY ALEJANDRA GUERRERO GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2025
Last Update Date: 07/26/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3938 GILMAN RD APT 101
EL MONTE CA
91732-2551
US

IV. Provider business mailing address

3938 GILMAN RD APT 101
EL MONTE CA
91732-2551
US

V. Phone/Fax

Practice location:
  • Phone: 626-672-8589
  • Fax:
Mailing address:
  • Phone: 626-672-8589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1201X
TaxonomyOptometric Assistant Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: