HAIDY SAMUEL GUIRGUIS


Address: 1262 E Ada Ave, Glendora, CA 91741-3782
Phone: 6263272011

HAIDY SAMUEL GUIRGUIS (NPI# 1639651995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639651995
Entity Type Individual
Full Name HAIDY SAMUEL GUIRGUIS
Credential FNP
Practice Address 1262 E Ada Ave
Glendora
CA 91741-3782
Practice Telephone 6263272011
Mailing Telephone 6263272011
Enumeration Date 2018-09-04
Last Update Date 2018-09-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
95009589 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1262 E ADA AVE
City GLENDORA
State CA
Zip Code 91741-3782

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City GLENDORA
Zip Code 91741

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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