Healthcare Provider Details

I. General information

NPI: 1972464220
Provider Name (Legal Business Name): CINDY GUZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 E CENTURY BLVD
LOS ANGELES CA
90002-3050
US

IV. Provider business mailing address

12441 OLD RIVER SCHOOL RD APT 210
DOWNEY CA
90242-3332
US

V. Phone/Fax

Practice location:
  • Phone: 323-374-6848
  • Fax:
Mailing address:
  • Phone: 562-479-6710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number95256834
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: