Individual
GRACE CHAVEZ GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3055 WILSHIRE BLVD STE 300, LOS ANGELES, CA 90010-1147
(213) 703-2123
Mailing address
3055 WILSHIRE BLVD STE 300, LOS ANGELES, CA 90010-1147
(213) 703-2123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y9062706
CALIFORNIA ID
CA
Enumeration date
10/25/2022
Last updated
05/14/2025
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