Individual
MR. DARREN WILLIAM GUILLAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, CS
Contact information
Practice address
5700 TELEGRAPH AVE STE 100, OAKLAND, CA 94609-1710
(510) 594-9411
(510) 594-2275
Mailing address
22558 CANYON RIDGE PL, CASTRO VALLEY, CA 94552-5414
(510) 461-0756
(510) 733-9464
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
14010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PA140100
CMS
CA
01
—
ZZZ04812Z
CMS
—
Enumeration date
12/12/2006
Last updated
01/28/2013
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