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
1	225100000X	Physical Therapist	297533	CA

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	:	430 S GARFIELD AVE STE 428
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-6807
Country	:	US
Telephone Number	:	626-888-2545
Fax Number	:

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

Provider Enumeration Date	:	11/20/2019
Last Update Date	:	01/26/2026

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