Healthcare Provider Details

I. General information

NPI: 1376752998
Provider Name (Legal Business Name): PAUL GUZMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 06/15/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 LINCOLN WAY
SAN FRANCISCO CA
94122-2210
US

IV. Provider business mailing address

88 PERRY ST
SAN FRANCISCO CA
94107-1392
US

V. Phone/Fax

Practice location:
  • Phone: 415-664-1414
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: