Organization
JOHN J. GUAGENTI, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J GUAGENTI M.D. (OWNER)
(818) 242-6357
Entity
Organization
Contact information
Practice address
1510 S CENTRAL AVE, SUITE 470, GLENDALE, CA 91204-2500
(818) 242-6357
(818) 242-3628
Mailing address
1510 S CENTRAL AVE, SUITE 470, GLENDALE, CA 91204-2500
(818) 242-6357
(818) 242-3628
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G32900
CA
Other
Enumeration date
10/09/2007
Last updated
01/02/2009
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