Individual
DAISY J. GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3650 E. SOUTH ST., STE 303, LAKEWOOD, CA 90712
(562) 923-4911
Mailing address
3650 E. SOUTH ST., STE 303, LAKEWOOD, CA 90712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A48966
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A489660
MEDICAL #
CA
Enumeration date
06/20/2005
Last updated
10/29/2012
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