Diego Jesus Guzman Garcia
Dental Assistant
13137 Adeline Ave
Moreno Valley
, California 92553-5930
Diego Jesus Guzman Garcia
Dental Assistant
13137 Adeline Ave
Moreno Valley
, California 92553-5930
(626) 722-2097
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Diego Jesus Guzman Garcia
- 13137 Adeline Ave
- Moreno Valley, CA
- Zip : 92553-5930
- Phone : (626) 722-2097
Second Address
- Diego Jesus Guzman Garcia
- 13137 Adeline Ave
- Moreno Valley, CA
- Zip : 92553-5930
- Phone : (626) 722-2097
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | OA48872 | CA |
National Provider Identifier
| NPI | 1255813416 |
|---|---|
| Provider Name | Diego Jesus Guzman Garcia |
| First Address | Moreno Valley, CA 92553-5930 |
| Second Address | Moreno Valley, CA 92553-5930 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2018 |
| Last Update Date | 04/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| OA48872 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.