| Cathryn De Guzman, PA-C | |
|
91275 66th St Suite 500, Mecca, CA 92254-1251 | |
| (760) 396-1249 | |
| (760) 396-1253 |
| Full Name | Cathryn De Guzman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 91275 66th St Suite 500, Mecca, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033778576 | NPI | - | NPPES |
| 1033778576 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 56870 (California) | Primary |
| Entity Name | Indio Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376766808 PECOS PAC ID: 9133032667 Enrollment ID: O20031110000714 |
| Entity Name | Clinicas De Salud Del Pueblo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158 |
| Entity Name | Coachella Valley Care Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811319890 PECOS PAC ID: 2961627286 Enrollment ID: O20140630001698 |
| Entity Name | Mint Health Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316543119 PECOS PAC ID: 8628486131 Enrollment ID: O20210422001607 |
| Mailing Address | Practice Location Address |
|---|---|
| Cathryn De Guzman, PA-C 91275 66th Ave, Suite 500, Mecca, CA 92254 Ph: (760) 396-1249 | Cathryn De Guzman, PA-C 91275 66th St Suite 500, Mecca, CA 92254-1251 Ph: (760) 396-1249 |
Kevin William Canedy, PHYSICIAN ASSISTANT Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 91275 66th Avenue, Suite 500, Mecca, CA 92254 Phone: 760-396-1249 |