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NPI Code Detail

MEDICARE: DR. KEVIN GUIHAMA PT, DPT

MEDICARE: DR. KEVIN GUIHAMA PT, DPT
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
1225100000XPhysical Therapist297533CA

General Provider Information

NPI Number : 1477199834
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN GUIHAMA PT, DPT
Provider Business Mailing Address
First Line : 1857 FAIR PARK AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90041-2131
Country : US
Telephone Number : 323-494-4838
Fax Number :
Provider Business Practice Location Address
First Line : 1857 FAIR PARK AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90041-2131
Country : US
Telephone Number : 323-494-4838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2019
Last Update Date : 01/08/2026

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