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Individual

JEREMY GUZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
555 CROCKER ST, LOS ANGELES, CA 90013-2180
(323) 827-9742
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
04/21/2022
Last updated
06/04/2025
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