Individual
MR. JONATHAN R DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11550 INDIAN HILLS RD, SUITE 241, MISSION HILLS, CA 91345-1200
(818) 361-0136
(818) 361-0136
Mailing address
11550 INDIAN HILLS RD, SUITE 241, MISSION HILLS, CA 91345-1200
(818) 361-0136
(818) 365-1259
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011095
NY
Other
Enumeration date
10/02/2006
Last updated
09/21/2010
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