Guan, Dwight W

Guan, Dwight W is an individual health care provider with primary practice located at 999 San Bernardino Rd , Upland CA 91786-4920. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Guan, Dwight W can be contacted via phone (909) 985-2811.

Contact Information

Primary practice address
999 San Bernardino Rd Upland CA 91786-4920
Phone: (909) 985-2811
Fax: (818) 587-2493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G59004 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G59004 California

Profile Details

NPI number 1184644676
LBN Legal business name Guan, Dwight W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184644676 NPPES
California MEDICAID 00G590040
California Other 00G590040
California Other P00247098

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