Organization
MEDICUS PROVIDER SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR T DE GUZMAN NP (PRESIDENT)
(818) 212-9260
Entity
Organization
Contact information
Practice address
29490 KRISTINE CT, SANTA CLARITA, CA 91387-1404
(818) 212-9260
Mailing address
24808 SAND WEDGE LN, VALENCIA, CA 91355-2315
(818) 212-9260
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
12/29/2022
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