Individual
ERIC GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1310 W STEWART DR STE 510, ORANGE, CA 92868-3856
(714) 538-8549
(714) 538-1547
Mailing address
1310 W STEWART DR STE 510, ORANGE, CA 92868-3856
(714) 538-8549
(714) 538-1547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21798
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA21798
LICENSE NO
CA
Enumeration date
12/02/2011
Last updated
10/27/2023
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