Individual
DR. JAY GUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N STATE STREET, CT-A7D, LOS ANGELES, CA 90033-1106
(323) 226-7556
(323) 226-2657
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354-2804
(909) 558-4911
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A144843
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JG3232267556
—
CA
Enumeration date
04/25/2015
Last updated
04/09/2018
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