Guzalo, Erica Annette
Guzalo, Erica Annette is an individual health care provider with primary practice located at 1385 Katella St , Laguna Beach CA 92651-3426. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Guzalo, Erica Annette can be contacted via phone (949) 813-1819.Contact Information
Primary practice address
1385 Katella St
Laguna Beach CA 92651-3426
Phone: (949) 813-1819
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | G86522 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G86522 | California |
Profile Details
| NPI number | 1861491250 |
|---|---|
| LBN Legal business name | Guzalo, Erica Annette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | May 8th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861491250 | NPPES |
| California | MEDICAID | 00G865220 | |
| California | Other | 300133826 | |
| California | Other | 00G865220 |
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