| Julio V Guzman MD Inc | |
|
4214 Beverly Blvd Ste 212 Los Angeles CA 90004-4429 | |
| (213) 385-9912 | |
| (213) 385-9915 |
| Full Name | Julio V Guzman MD Inc |
|---|---|
| Speciality | General Practice |
| Location | 4214 Beverly Blvd Ste 212, Los Angeles, California |
| Authorized Official Name and Position | Julio V Guzman (OWNER) |
| Authorized Official Contact | 2133859912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julio V Guzman MD Inc 4214 Beverly Blvd Ste 212 Los Angeles CA 90004-4429 Ph: (213) 385-9912 | Julio V Guzman MD Inc 4214 Beverly Blvd Ste 212 Los Angeles CA 90004-4429 Ph: (213) 385-9912 |
| NPI Number | 1518146414 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 10/26/2007 |
| Medicare PECOS PAC ID | 5193800092 |
|---|---|
| Medicare Enrollment ID | O20080317000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518146414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A66211 (California) | Primary |
| Provider Name | Julio Guzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184653628 PECOS PAC ID: 1456436534 Enrollment ID: I20080317000121 |
| Provider Name | Carlos S Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548572795 PECOS PAC ID: 6507052198 Enrollment ID: I20101122000702 |
| Provider Name | Elham Mesri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033387030 PECOS PAC ID: 6103070362 Enrollment ID: I20130218000110 |
| Provider Name | Jaana Salonsaari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568863348 PECOS PAC ID: 1052638376 Enrollment ID: I20150326000452 |
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