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NPI Code Detail

MEDICARE: ERICA GUZMAN

MEDICARE: ERICA GUZMAN
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1952865370
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA GUZMAN
Provider Business Mailing Address
First Line : PO BOX 399318, SAN FRANCISCO CA 94139
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94139-0001
Country : US
Telephone Number : 866-523-4268
Fax Number :
Provider Business Practice Location Address
First Line : 3745 LONG BEACH BLVD STE 100
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3340
Country : US
Telephone Number : 866-523-4268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2019
Last Update Date : 10/17/2022

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Directions to “ ERICA GUZMAN ” Practice Location

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