Individual
ADRIANA GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6749 EL BANQUERO PL, SAN DIEGO, CA 92119-1129
(831) 332-7553
Mailing address
6749 EL BANQUERO PL, SAN DIEGO, CA 92119-1129
(831) 325-2807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
18692
CA
1041C0700X
Clinical Social Worker
Primary
26974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194925842
—
CA
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP NUMBER
CA
01
—
ZZZ92069Z
SANTA CRUZ COUNTY MEDICARE GROUP NUMBER
CA
Enumeration date
07/20/2007
Last updated
07/16/2020
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