Luis Eduardo Guzman, DENTAL ASSISTANT

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

4480930 Issued in CA

Practice address

5033 1/2 Clara St
Cudahy, CA 90201-4532

Phone

(323) 573-4762

NPI assigned

Aug 20, 2009

Last updated

Aug 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1659503829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 TWEEDY BLVD STE J",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806167",
            "telephone_number": "323-567-3333",
            "fax_number": "323-567-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5033 1/2 CLARA ST",
            "city": "CUDAHY",
            "state": "CA",
            "postal_code": "902014532",
            "telephone_number": "323-573-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "credential": "DENTAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "4480930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianne Stephen U Go, NP
• Casimiro Gonzalez, M.D.
• Harriet L Gonzalez, AA
• Leticia Keusayan Gonzalez, PA-C
• Gloria Granados Avila, LCSW
• Tanya Guzman
• Sara Han, PHARM,D.
• Homati&Kolahi a Dental Corporation
• Jamshid Shafai, M.D., Inc.
• Kai-Ning Jan, M.D.

• Dental Assistant in Cudahy, CA
• Providers in Cudahy, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.