Healthcare Provider Details

I. General information

NPI: 1023654779
Provider Name (Legal Business Name): JOANNE ABUYUAN GUERRERO NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2019
Last Update Date: 05/07/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 W WHITTIER BLVD
MONTEBELLO CA
90640-4735
US

IV. Provider business mailing address

385 S LEMON AVE # E262
WALNUT CA
91789-2727
US

V. Phone/Fax

Practice location:
  • Phone: 323-712-4811
  • Fax:
Mailing address:
  • Phone: 909-610-0074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95008625
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: