Individual
IRVIN ALEXIS GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
25652 OLD TRABUCO RD, LAKE FOREST, CA 92630-2776
(949) 380-9380
Mailing address
21022 LOS ALISOS BLVD APT 1816, RANCHO SANTA MARGARITA, CA 92688-3262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6255
CA
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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