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NPI Code Detail

MEDICARE: DESIREE ARRIETA GUEVARA RN

MEDICARE: DESIREE ARRIETA GUEVARA RN
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
1163W00000XRegistered Nurse95412381CA

General Provider Information

NPI Number : 1861330052
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIREE ARRIETA GUEVARA RN
Provider Business Mailing Address
First Line : 675 S ARROYO PKWY
Second Line :
City : PASADENA
State : CA
Zip : 91105-3263
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 675 S ARROYO PKWY
Second Line :
City : PASADENA
State : CA
Zip : 91105-3263
Country : US
Telephone Number : 925-282-1778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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