# TITA DEGUZMAN INSURANCE AGENCY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144432824
- **Authorized official:** MS. TITA DE GUZMAN (CEO)
- **Authorized official phone:** (909) 348-0444

## Contact information

- **Practice address:** 20652 COLLEGEWOOD DR, WALNUT, CA 91789-1134
- **Practice address phone:** (909) 444-9167
- **Practice address fax:** (909) 444-9167
- **Mailing address:** 1241 GRAND AVE, SUITE H, DIAMOND BAR, CA 91765-4447
- **Mailing address phone:** (909) 348-0444
- **Mailing address fax:** (909) 348-0439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 03/05/2008