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NPI Code Detail

MEDICARE: ISABEL DE GUZMAN PA-C

MEDICARE: ISABEL DE GUZMAN PA-C
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
1363A00000XPhysician AssistantPA67557CA

General Provider Information

NPI Number : 1215889340
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABEL DE GUZMAN PA-C
Provider Business Mailing Address
First Line : 10 CONGRESS ST STE 103
Second Line :
City : PASADENA
State : CA
Zip : 91105-3027
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 CONGRESS ST STE 103
Second Line :
City : PASADENA
State : CA
Zip : 91105-3027
Country : US
Telephone Number : 626-796-6164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ ISABEL DE GUZMAN PA-C” Practice Location

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