Provider Demographics
NPI:1396561528
Name:GUINTO, RICARDO MANALAYSAY JR (NP)
Entity type:Individual
Prefix:MR
First Name:RICARDO
Middle Name:MANALAYSAY
Last Name:GUINTO
Suffix:JR
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 ROSTRATA AVE
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-1816
Mailing Address - Country:US
Mailing Address - Phone:501-551-5444
Mailing Address - Fax:
Practice Address - Street 1:5805 ROSTRATA AVE
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-1816
Practice Address - Country:US
Practice Address - Phone:501-551-5444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034117363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care