Healthcare Provider Details

I. General information

NPI: 1639007990
Provider Name (Legal Business Name): AV RCFE, OLDFIELD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

839 E OLDFIELD ST
LANCASTER CA
93535-3215
US

IV. Provider business mailing address

2244 CORNFLOWER WAY
PALMDALE CA
93551-6204
US

V. Phone/Fax

Practice location:
  • Phone: 805-551-0062
  • Fax:
Mailing address:
  • Phone: 805-551-0062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State

VIII. Authorized Official

Name: MR. FERNANDO QUINTO DE GUZMAN JR.
Title or Position: ADMINISTRATOR
Credential:
Phone: 805-551-0062