Individual
JOSECARLOS GUAJARDO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7233 LOMA VERDE AVE APT 203, CANOGA PARK, CA 91303-3606
(818) 660-7653
Mailing address
7233 LOMA VERDE AVE APT 203, CANOGA PARK, CA 91303-3606
(818) 660-7653
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D1332838
CA
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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