Earl Andrew B. de Guzman MD, Apc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A132370 Issued in CA

Legal business name

EARL ANDREW B. DE GUZMAN MD, APC.

Practice address

317 14TH St Ste a
Del Mar, CA 92014-2554

Phone

(510) 676-2034

NPI assigned

Sep 29, 2017

Last updated

Mar 17, 2018By 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

Earl Andrew Balayan De Guzman, MD

Title

Medical Director

Phone

(510) 676-2034

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1952810251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 14TH ST STE A",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 14TH ST STE A",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142554",
            "telephone_number": "510-676-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17782 Cowan Ste C2",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926146030",
            "country_code": "US",
            "telephone_number": "510-676-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EARL ANDREW B. DE GUZMAN MD, APC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "EARL ANDREW",
        "authorized_official_middle_name": "BALAYAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "510-676-2034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A132370",
            "primary": true
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CA",
            "license": "A132370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• E. Clark Allen, M.D. Professional Corporation
• Edward Farajzadeh, DDS Apdc
• Sue Ann Edwards, M.F.T.
• Frank Joshua Eha, L.AC.
• Rokhsar Eizadi, DDS
• Elizabeth R. Hudler, M.D. Apc

• Psychiatry Physician in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.