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NPI Code Detail

MEDICARE: GUARDIAN HEALTHCARE SERVICES

MEDICARE: GUARDIAN HEALTHCARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment Facility

General Provider Information

NPI Number : 1164968301
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUARDIAN HEALTHCARE SERVICES
Provider Business Mailing Address
First Line : 16541 GOTHARD ST STE 102
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-4472
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16541 GOTHARD ST STE 102
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-4472
Country : US
Telephone Number : 949-533-7122
Fax Number :
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : MR. BENJAMIN WOODFORD SMITH
Credential :
Telephone Number : 949-892-3020
Provider Enumeration Date : 01/11/2017
Last Update Date : 07/09/2021

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Directions to “GUARDIAN HEALTHCARE SERVICES ” Practice Location

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