Organization
RICHARD GUEST MD, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALLAN GUEST MD (PRESIDENT)
(310) 507-5099
Entity
Organization
Contact information
Practice address
15478 DUOMO VIA ST, LOS ANGELES, CA 90077-1515
(310) 507-5099
Mailing address
PO BOX 12325, LA CRESCENTA, CA 91224-5325
(310) 507-5099
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A33685
CA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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