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NPI Code Detail

MEDICARE: MIGUEL GUERRERO

MEDICARE: MIGUEL GUERRERO
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1770243297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIGUEL GUERRERO
Provider Business Mailing Address
First Line : 8919 CALIFORNIA AVE
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-3013
Country : US
Telephone Number : 323-487-5126
Fax Number :
Provider Business Practice Location Address
First Line : 8919 CALIFORNIA AVE
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-3013
Country : US
Telephone Number : 323-487-5126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2021
Last Update Date : 12/23/2021

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Directions to “ MIGUEL GUERRERO ” Practice Location

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