Guadalupe Medical Group a Professional Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GUADALUPE MEDICAL GROUP A PROFESSIONAL CORPORATION

Practice address

4201 E 10TH St
Long Beach, CA 90804-5508

Phone

(323) 543-4535

Fax

(323) 480-4574

NPI assigned

Jul 20, 2026

Last updated

Jul 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Teodulo Cruz Bonzon, LCSWNPI 1497039192

Title

Operating Provider

Phone

(818) 846-4469

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teodulo Cruz Bonzon, LCSW

  • Clinical Social Worker
  • Glendale, CA
  • NPI 1497039192
  Authorized official Same address or phone

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1932029725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413214",
            "telephone_number": "818-846-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 E 10TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045508",
            "telephone_number": "323-543-4535",
            "fax_number": "323-480-4574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2526 New Ave",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917702939",
            "country_code": "US",
            "telephone_number": "323-543-4535",
            "fax_number": "323-480-4574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 N Kenmore Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900043336",
            "country_code": "US",
            "telephone_number": "323-543-4535",
            "fax_number": "323-480-4574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5035 E Echo St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900423915",
            "country_code": "US",
            "telephone_number": "323-543-4535",
            "fax_number": "323-480-4574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUADALUPE MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "BONZON",
        "authorized_official_first_name": "TEODULO",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "OPERATING PROVIDER",
        "authorized_official_telephone_number": "818-846-4469",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Gruber, LMFT
• Jacob Grundhauser
• Karen Ann Gruwell, PA-C
• Sasha Gruwell
• Maria Michelle Grywalski, FNP-BC
• Eliannette Guadarrama
• Laura Gabriella Guajardo
• Leonel Guajardo, M.D.
• Jenny Guan
• Karla Vanessa Guardado Segura

• General Practice Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.