MEDICARE: DR. KAREN E GUINN DDS

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	31275	CA

General Provider Information

NPI Number	:	1225168446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN E GUINN DDS

Provider Business Mailing Address
First Line	:	1175 E GREEN ST
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2505
Country	:	US
Telephone Number	:	626-578-1687
Fax Number	:	626-578-1594

Provider Business Practice Location Address
First Line	:	1175 E GREEN ST
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2505
Country	:	US
Telephone Number	:	626-578-1687
Fax Number	:	626-578-1594

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	08/22/2016

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