Healthcare Provider Details

I. General information

NPI: 1548086770
Provider Name (Legal Business Name): ROCIO GUZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 OWENS ST STE 900
SAN FRANCISCO CA
94158-2261
US

IV. Provider business mailing address

1600 OWENS ST STE 900
SAN FRANCISCO CA
94158-2261
US

V. Phone/Fax

Practice location:
  • Phone: 628-242-6924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number95258281
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: