MISS CARINA LIZETTE GUERRA


Address: St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037
Phone: 3235411411

MISS CARINA LIZETTE GUERRA (NPI# 1871119701) 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) 1871119701
Entity Type Individual
Full Name MISS CARINA LIZETTE GUERRA
Credential FNP-C
Practice Address St. John's Well Child and Family Center, Inc.
808 W. 58th Street
Los Angeles
CA 90037
Mailing Address 808 W 58th St
Los Angeles
CA 90037-3632
Practice Telephone 3235411411
Enumeration Date 2020-06-16
Last Update Date 2020-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95014540 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.
808 W. 58TH STREET
City LOS ANGELES
State CA
Zip Code 90037

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1295282283 Catherine Azzopardi Social Worker 4601 S Broadway, Los Angeles, CA 90037 2016-09-07
1619423266 Esmeralda Garcia Dietitian, Registered 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 2016-09-01
1225405921 Sophan Cheng Nurse Practitioner 808 W. 58th Street, Los Angeles, CA 90037 2015-08-28
1508268996 Christine Ann Levin Physician Assistant 987 West Vernon Ave, Los Angeles, CA 90037 2014-09-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1457971160 Karen Kim-chang Nurse Practitioner 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 2020-04-22
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Competitor

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City LOS ANGELES
Zip Code 90037

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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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