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Individual

MR. ERICK GUILLORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P. A.

Contact information

Practice address
9301 WILSHIRE BLVD, SUITE 404, BEVERLY HILLS, CA 90210-5424
(310) 278-9171
(310) 278-2058
Mailing address
8162 MANITOBA ST, UNIT 305, PLAYA DEL REY, CA 90293-8641
(310) 482-1453

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 13616
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DV219Y
PTAN
CA
Enumeration date
04/04/2007
Last updated
12/01/2010
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