Individual
GERARDO C GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP, CTPO, CFO
Contact information
Practice address
6190 FAIRMOUNT AVE STE A, SAN DIEGO, CA 92120-3428
(619) 285-5040
(619) 285-5045
Mailing address
6190 FAIRMOUNT AVE STE A, SAN DIEGO, CA 92120-3428
(619) 285-5040
(619) 285-5045
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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