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General NPI Number Information
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NPI Number | 1184644676
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Entity Type | Individual
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Provider Name | DWIGHT W GUAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 999 SAN BERNARDINO RD
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City | UPLAND
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State | CA
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Zip | 91786-4920
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Country | US
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Telephone | 909-985-2811
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Fax | 818-587-2493
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Provider Business Mailing Address
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Address Line | PO BOX 4419
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City | WOODLAND HILLS
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State | CA
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Zip | 91365-4419
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Country | US
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Telephone | 818-340-9988
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Fax | 818-587-2493
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G59004
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G59004
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License Number State | CA
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