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General NPI Number Information
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NPI Number | 1386240034
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Entity Type | Organization
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Legal Business Name | GUARDIANT HEALTH
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 2485 VENTURA BLVD
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City | CAMARILLO
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State | CA
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Zip | 93010-6650
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Country | US
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Telephone | 805-364-0889
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Fax | 805-200-4434
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Provider Business Mailing Address
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Address Line | 2485 VENTURA BLVD
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City | CAMARILLO
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State | CA
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Zip | 93010-6650
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Country | US
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Telephone | 707-356-5178
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Fax | 805-200-4434
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Authorized Official
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Title or Position | CEO
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Name | KURT TAMARU
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Credential | MD
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Telephone | 707-365-5178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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