Healthcare Provider Details

I. General information

NPI: 1750863163
Provider Name (Legal Business Name): MANUELA GUADALUPE ALMAGUER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2018
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE CA
92672-3508
US

IV. Provider business mailing address

1836 LOCUST AVE APT 406
LONG BEACH CA
90806-6294
US

V. Phone/Fax

Practice location:
  • Phone: 714-871-9264
  • Fax: 714-871-5032
Mailing address:
  • Phone: 562-333-5266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: