Organization
EARL ANDREW B. DE GUZMAN MD, APC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL ANDREW BALAYAN DE GUZMAN MD (MEDICAL DIRECTOR)
(510) 676-2034
Entity
Organization
Contact information
Practice address
317 14TH ST STE A, DEL MAR, CA 92014-2554
(510) 676-2034
Mailing address
317 14TH ST STE A, DEL MAR, CA 92014-2554
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
A132370
CA
2084P0800X
Psychiatry Physician
Primary
A132370
CA
Other
Enumeration date
09/29/2017
Last updated
03/17/2018
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