Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G53529 | CA |
NPI | 1013913664 |
---|---|
Provider Name | Dr. James R. Guadagni |
First Address | Visalia, CA 93291-8222 |
Second Address | Visalia, CA 93291-8222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 03/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A52538 | (02) |