Healthcare Provider Details

I. General information

NPI: 1356264246
Provider Name (Legal Business Name): EDUARDO GUERENA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5758 W LAS POSITAS BLVD
PLEASANTON CA
94588-4083
US

IV. Provider business mailing address

5758 W LAS POSITAS BLVD
PLEASANTON CA
94588-4083
US

V. Phone/Fax

Practice location:
  • Phone: 925-462-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number8F5DC50227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: