Healthcare Provider Details

I. General information

NPI: 1760395800
Provider Name (Legal Business Name): FLORENCIO GUERRA JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

364 S VALENCIA BLVD
WOODLAKE CA
93286-1716
US

IV. Provider business mailing address

364 S VALENCIA BLVD
WOODLAKE CA
93286-1716
US

V. Phone/Fax

Practice location:
  • Phone: 559-586-5942
  • Fax:
Mailing address:
  • Phone: 559-586-5942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number23B1C6380F
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: