Healthcare Provider Details

I. General information

NPI: 1811736275
Provider Name (Legal Business Name): THE GUARDIAN GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2024
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14623 HAWTHORNE BLVD STE 400
LAWNDALE CA
90260-1581
US

IV. Provider business mailing address

95 3RD ST FL 2
SAN FRANCISCO CA
94103-3103
US

V. Phone/Fax

Practice location:
  • Phone: 800-411-1006
  • Fax: 310-356-7910
Mailing address:
  • Phone: 888-240-2019
  • Fax: 310-356-7910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL SWEENEY
Title or Position: DIRECTOR
Credential:
Phone: 888-240-2019