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Individual

DR. VENUSTIANO JAVIER GUERRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1635 3RD AVE, STE E, CHULA VISTA, CA 91911-5882
(619) 427-4300
(619) 427-4301
Mailing address
1635 3RD AVE, STE E, CHULA VISTA, CA 91911-5882
(619) 427-4300
(619) 427-4301

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A53771
CA
208D00000X
General Practice Physician
A53771
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A537710
BLUE CROSS
CA
05
00A537711
CA
Enumeration date
09/21/2006
Last updated
04/03/2013
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