Provider Demographics
NPI:1972521045
Name:GUZMAN, JUAN EDUARDO (MD)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:EDUARDO
Last Name:GUZMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:EDUARDO
Other - Last Name:GUZMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:201 S MILLER ST STE 103
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-5248
Mailing Address - Country:US
Mailing Address - Phone:805-314-2175
Mailing Address - Fax:805-314-2219
Practice Address - Street 1:201 S MILLER ST STE 103
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5248
Practice Address - Country:US
Practice Address - Phone:805-314-2175
Practice Address - Fax:805-314-2219
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 381242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry