Healthcare Provider Details

I. General information

NPI: 1568836427
Provider Name (Legal Business Name): MARIA ESTHER GUZMAN RN, PHN, MSN, AGNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2015
Last Update Date: 11/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 WHITTIER BLVD
LOS ANGELES CA
90022-4015
US

IV. Provider business mailing address

5300 WHITTIER BLVD
LOS ANGELES CA
90022-4015
US

V. Phone/Fax

Practice location:
  • Phone: 323-980-8488
  • Fax: 323-980-4848
Mailing address:
  • Phone: 323-980-8488
  • Fax: 323-980-4848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95002647
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: