Healthcare Provider Details

I. General information

NPI: 1255637369
Provider Name (Legal Business Name): PEDRO GUZMAN CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2011
Last Update Date: 01/25/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 N FRESNO ST
FRESNO CA
93720-2941
US

IV. Provider business mailing address

5451 E WASHINGTON AVE
FRESNO CA
93727-3351
US

V. Phone/Fax

Practice location:
  • Phone: 559-448-4646
  • Fax:
Mailing address:
  • Phone: 559-433-5094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4009
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: