MEDICARE: KATARINA GUZMAN 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
1	208M00000X	Hospitalist Physician	C53016	CA
2	207R00000X	Internal Medicine Physician	39054	MN

Other Identifiers

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

General Provider Information

NPI Number	:	1598737645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATARINA GUZMAN MD

Provider Business Mailing Address
First Line	:	2100 POWELL ST
Second Line	:	STE 900
City	:	EMERYVILLE
State	:	CA
Zip	:	94608-1844
Country	:	US
Telephone Number	:	510-350-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	2585 SAMARITAN DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-4107
Country	:	US
Telephone Number	:	408-278-3000
Fax Number	:

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

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	10/25/2017

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Directions to “ KATARINA GUZMAN MD” Practice Location

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