Individual
JACQUELINE J GUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1116
(818) 365-9531
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5559
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A77734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A777340
—
CA
05
—
EAP70436F
—
CA
05
—
FHC70436F
—
CA
05
—
HAP70436F
—
CA
01
—
W11698
GROUP ID
CA
Enumeration date
02/22/2007
Last updated
10/15/2015
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