Healthcare Provider Details

I. General information

NPI: 1811484223
Provider Name (Legal Business Name): ARNEL PAUL GUZMAN NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 08/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15211 VANOWEN ST STE 201
VAN NUYS CA
91405
US

IV. Provider business mailing address

541 W COLORADO ST STE 205
GLENDALE CA
91204-3640
US

V. Phone/Fax

Practice location:
  • Phone: 323-254-0046
  • Fax: 323-488-9782
Mailing address:
  • Phone: 323-254-0046
  • Fax: 323-488-9782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95008751
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: