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Organization
ROSALIE A. DE GUZMAN, M.D., INC.
Active
Organization
ROSALIE A. DE GUZMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE A DE GUZMAN M.D. (PEDIATRICIAN)
(951) 270-0067
Entity
Organization
Contact information
Practice address
823 S MAIN ST, SUITE 100, CORONA, CA 92882-3421
(951) 270-0067
Mailing address
823 S MAIN ST, SUITE 100, CORONA, CA 92882-3421
(951) 270-0067
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A39804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A398040
—
CA
Enumeration date
07/06/2006
Last updated
08/22/2020
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