Individual
BENJAMIN GUZMAN OLAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 212-3264
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 212-3264
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
MPSS-QUICHR
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/21/2023
Last updated
06/16/2026
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