Healthcare Provider Details

I. General information

NPI: 1548036312
Provider Name (Legal Business Name): CARLA AMERICA GONZALEZ-GUZMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2023
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14906 PARAMOUNT BLVD
PARAMOUNT CA
90723-3409
US

IV. Provider business mailing address

14906 PARAMOUNT BLVD
PARAMOUNT CA
90723-3409
US

V. Phone/Fax

Practice location:
  • Phone: 323-948-5418
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberP31
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: