# RICHARD GUEST MD, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1407246408
- **Authorized official:** RICHARD ALLAN GUEST MD (PRESIDENT)
- **Authorized official phone:** (310) 507-5099

## Contact information

- **Practice address:** 15478 DUOMO VIA ST, LOS ANGELES, CA 90077-1515
- **Practice address phone:** (310) 507-5099
- **Mailing address:** PO BOX 12325, LA CRESCENTA, CA 91224-5325
- **Mailing address phone:** (310) 507-5099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A33685 | CA | Yes |

## Other

- **Enumeration date:** 01/28/2015
- **Last updated:** 01/28/2015