MEDICARE: JEAN CLAUDE GUIDI DO

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	208000000X	Pediatrics Physician	OS22178	FL
2	207R00000X	Internal Medicine Physician	OS22178	FL
3	208M00000X	Hospitalist Physician	20A24945	CA

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
2	8HLPY	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1750960837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN CLAUDE GUIDI DO

Provider Business Mailing Address
First Line	:	PO BOX 50938
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90074-0938
Country	:	US
Telephone Number	:	323-442-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 SAN PABLO ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-5313
Country	:	US
Telephone Number	:	323-442-5100
Fax Number	:

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

Provider Enumeration Date	:	04/06/2021
Last Update Date	:	05/06/2026

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Directions to “ JEAN CLAUDE GUIDI DO” Practice Location

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