Individual
MR. CESAR GUILLERMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RAS
Contact information
Practice address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
(310) 679-9126
Mailing address
3823 W 118TH PL, HAWTHORNE, CA 90250-3213
(310) 418-3002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
02/17/2016
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