Healthcare Provider Details

I. General information

NPI: 1245726488
Provider Name (Legal Business Name): ANA ISABEL GUZMAN-WILEY MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2018
Last Update Date: 09/21/2023
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 E GRAND AVE
ESCONDIDO CA
92025-4605
US

IV. Provider business mailing address

1002 E GRAND AVE
ESCONDIDO CA
92025-4605
US

V. Phone/Fax

Practice location:
  • Phone: 760-741-2660
  • Fax:
Mailing address:
  • Phone: 760-453-1563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number83923
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number100509
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: