Individual
CARLOS GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3975 DALTON AVE, LOS ANGELES, CA 90062-1215
(213) 595-2358
Mailing address
3975 DALTON AVE, LOS ANGELES, CA 90062-1215
(213) 595-2358
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
175007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
04/09/2015
Last updated
09/23/2021
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