Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | A161722 | CA |
Y | 213ES0000X | Sports Medicine | A161722 | CA |
NPI | 1497109144 |
---|---|
Provider Name | Dr. Larry Bartolo Guinto |
First Address | Brooklyn, NY 11201-5425 |
Second Address | Fresno, CA 93720-3391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2016 |
Last Update Date | 09/02/2022 |