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General NPI Number Information
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NPI Number | 1134626203
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Entity Type | Individual
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Provider Name | ELEN GUSMAN
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Gender | Female
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 8635 W 3RD ST STE 965W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6138
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Country | US
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Telephone | 310-657-3792
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Fax |
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Provider Business Mailing Address
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Address Line | 200 MEDICAL PLAZA
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City | LOS ANGELES
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State | CA
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Zip | 90095-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A195752
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A195752
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | A195752
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License Number State | CA
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