Individual
BENNY J GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5827 PINE AVE, STE A, CHINO HILLS, CA 91709-6534
(909) 613-0016
(909) 613-0026
Mailing address
5827 PINE AVE, STE A, CHINO HILLS, CA 91709-6534
(909) 613-0016
(909) 613-0026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A72290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A722900
—
CA
05
—
00A722901
—
CA
Enumeration date
08/09/2005
Last updated
10/25/2012
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