Healthcare Provider Details

I. General information

NPI: 1124951728
Provider Name (Legal Business Name): YVETTE BELTRAN GUZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 FOSTER AVE
OAKLAND CA
94603-2024
US

IV. Provider business mailing address

232 FOSTER AVE
OAKLAND CA
94603-2024
US

V. Phone/Fax

Practice location:
  • Phone: 909-200-9508
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: