MEDICARE: DR. DAVID GUZMAN M.D.

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	207R00000X	Internal Medicine Physician	C151747	CA

General Provider Information

NPI Number	:	1275521494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID GUZMAN M.D.

Provider Business Mailing Address
First Line	:	550 DEEP VALLEY DR STE 317
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-7604
Country	:	US
Telephone Number	:	310-265-1623
Fax Number	:	310-265-1753

Provider Business Practice Location Address
First Line	:	6041 CADILLAC AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-1702
Country	:	US
Telephone Number	:	323-857-2000
Fax Number	:

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

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	09/15/2025

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