Jose Luis Guerra in La Crescenta - Clinical
Jose Luis Guerra - NPI 1174649610
Jose Luis Guerra is a Clinical in La Crescenta, California. Jose Luis Guerra practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jose Luis Guerra is 1174649610. The last update date is 2021-10-11.
Jose Luis Guerra's current location address is Po Box 8401, La Crescenta, California. You can contact this provider via phone number 8187706147. The mailing address for Jose Luis Guerra is Po Box 8401, La Crescenta, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jose Luis Guerra |
|---|---|
| Address | Po Box 8401, La Crescenta, California |
| Phone Number | 8187706147 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD MFT |
NPI Number Detail
| NPI Number | 1174649610 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2021-10-11 |
Provider Mailing Address Detail
| Address | Po Box 8401 |
|---|---|
| City | La Crescenta |
| State | California (CA) |
| Post Code | 912240401 |
| Phone Number | 8187706147 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 32906 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Jose Luis Guerra's unique identification number?
The Jose Luis Guerra has been assigned the NPI (National Provider Identifier) Number 1174649610 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jose Luis Guerra's physical address?
The Jose Luis Guerra is physically located at Po Box 8401, in the city of La Crescenta, CA, with the postal code 912240401.
What is the Jose Luis Guerra's area of specialization and corresponding taxonomy classification?
The Jose Luis Guerra's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174649610 to Jose Luis Guerra?
The Centers for Medicare & Medicaid Services originally issued the 1174649610 to Jose Luis Guerra on 2007-03-22.
As of what date were the details pertaining to Jose Luis Guerra last refreshed?
The information related to the Jose Luis Guerra, including its address, specialty, and other relevant details, was last updated on 2021-10-11.