# MEDICUS PROVIDER SERVICES INC

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

## Provider details

- **NPI number:** 1497401426
- **Authorized official:** VICTOR T DE GUZMAN NP (PRESIDENT)
- **Authorized official phone:** (818) 212-9260

## Contact information

- **Practice address:** 29490 KRISTINE CT, SANTA CLARITA, CA 91387-1404
- **Practice address phone:** (818) 212-9260
- **Mailing address:** 24808 SAND WEDGE LN, VALENCIA, CA 91355-2315
- **Mailing address phone:** (818) 212-9260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2022
- **Last updated:** 12/29/2022