Organization
DR. MICHAEL GUARNOTTA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH GUARNOTTA O.D. (PRESIDENT)
(619) 442-6686
Entity
Organization
Contact information
Practice address
1071 BROADWAY, EL CAJON, CA 92021-4804
(619) 442-6686
(619) 442-8023
Mailing address
1071 BROADWAY, EL CAJON, CA 92021-4804
(619) 442-6686
(619) 442-8023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT7479T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD000870
—
CA
Enumeration date
06/04/2006
Last updated
11/29/2007
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