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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1861491250 NPPES
California MEDICAID 00G865220
California Other 300133826
California Other 00G865220

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