Provider Demographics
NPI:1972700326
Name:GUZMAN, EDUARDO ALBERTO (MD)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:ALBERTO
Last Name:GUZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7677 GAINEY CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-6808
Mailing Address - Country:US
Mailing Address - Phone:909-987-9680
Mailing Address - Fax:909-987-9680
Practice Address - Street 1:CITY OF HOPE NATIONAL MEDICAL CENTER
Practice Address - Street 2:1500 EAST DUARTE RD.
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010
Practice Address - Country:US
Practice Address - Phone:626-256-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA100522208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery