Individual
ELMER RUBEN GUARDADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
866 CAMPUS DR, STANFORD, CA 94305-8508
(650) 723-3785
Mailing address
6030 FAYETTE ST, LOS ANGELES, CA 90042-2705
(323) 477-5368
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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