Healthcare Provider Details

I. General information

NPI: 1639192453
Provider Name (Legal Business Name): TESSIE ERINN GUERRERO MSN, APRN, PNP, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD OFC 2S60
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

1143 PALM TER
PASADENA CA
91104-3713
US

V. Phone/Fax

Practice location:
  • Phone: 424-315-1737
  • Fax:
Mailing address:
  • Phone: 323-697-4940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number13006
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code364SP0200X
TaxonomyPediatric Clinical Nurse Specialist
License Number4947
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number488157
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: