Healthcare Provider Details

I. General information

NPI: 1528216454
Provider Name (Legal Business Name): CARLOS HUGO GUERRA SANCHEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4785 N 1ST ST FL 3
FRESNO CA
93726-0513
US

IV. Provider business mailing address

6789 E ROBINSON AVE
FRESNO CA
93727-0860
US

V. Phone/Fax

Practice location:
  • Phone: 559-458-4555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA130029
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: