CRYSTAL VIANA GOMEZ GUERRA NPI 1013455476

NPI Information

NPI: 1013455476
Provider Name: CRYSTAL VIANA GOMEZ GUERRA
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
2121 W TEMPLE ST
LOS ANGELES, CA
ZIP 90026
Phone: (323) 385-5100
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Crystal Viana Gomez Guerra is a peer specialist in Los Angeles, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Crystal Viana Gomez Guerra NPI is 1013455476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2121 W TEMPLE ST
LOS ANGELES, CA
ZIP 90026-915
Phone: (323) 385-5100

The enumeration date for this NPI number is 2/6/2017 and was last updated on 8/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172V00000X	Community Health Worker				No
2	175T00000X	Peer Specialist		MPSS-TEBFQV	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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