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NPI Code Detail

MEDICARE: DR. MICHAEL JAMES GUICE MD

MEDICARE: DR. MICHAEL JAMES GUICE MD
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
1208D00000XGeneral Practice Physician933573CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215944285
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JAMES GUICE MD
Provider Business Mailing Address
First Line : 1127 WILSHIRE BLVD
Second Line : # 1509
City : LOS ANGELES
State : CA
Zip : 90017
Country : US
Telephone Number : 213-482-8600
Fax Number : 213-482-8222
Provider Business Practice Location Address
First Line : 1127 WILSHIRE BLVD
Second Line : # 1509
City : LOS ANGELES
State : CA
Zip : 90017
Country : US
Telephone Number : 213-482-8600
Fax Number : 213-482-8222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 09/08/2010

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