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NPI Code Detail

MEDICARE: MARIA VICTORIA GUZMAN

MEDICARE:   MARIA VICTORIA GUZMAN
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
1242T00000XPerfusionistY3676252CA

General Provider Information

NPI Number : 1174191456
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA VICTORIA GUZMAN
Provider Business Mailing Address
First Line : 1505 VIRGINIA ST
Second Line :
City : BERKELEY
State : CA
Zip : 94703-1231
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1505 VIRGINIA ST
Second Line :
City : BERKELEY
State : CA
Zip : 94703-1231
Country : US
Telephone Number : 678-790-2962
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2021
Last Update Date : 06/14/2021

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Directions to “ MARIA VICTORIA GUZMAN ” Practice Location

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