Provider Demographics
NPI:1063059087
Name:GUERRERO, HILDA MARIA
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:MARIA
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 VALLEY CIRCLE BLVD UNIT 3
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-7479
Mailing Address - Country:US
Mailing Address - Phone:818-605-1452
Mailing Address - Fax:
Practice Address - Street 1:10201 VALLEY CIRCLE BLVD UNIT 3
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-7479
Practice Address - Country:US
Practice Address - Phone:818-605-1452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-141816174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN