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General NPI Number Information
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NPI Number | 1912920331
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Entity Type | Organization
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Legal Business Name | CITRUS VALLEY ANESTHESIA MEDICAL GROUP
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1115 S SUNSET AVE
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City | WEST COVINA
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State | CA
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Zip | 91790-3940
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Country | US
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Telephone | 626-962-4011
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Fax | 626-859-5873
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Provider Business Mailing Address
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Address Line | PO BOX 60790
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City | PASADENA
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State | CA
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Zip | 91116-6790
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Country | US
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Telephone | 626-204-6747
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Fax | 626-396-0851
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDGAR GUERRERO
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Credential | MD
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Telephone | 626-664-5547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | CA
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