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LOIDA V. GUEVARRA M.D. INC. NPI 1932186913


NPI Information

NPI: 1932186913
Provider Name: LOIDA V. GUEVARRA, M.D., INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
12760 HESPERIA RD
SUITE A
VICTORVILLE, CA
ZIP 92395
Phone: (760) 955-1166
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LOIDA V. GUEVARRA, M.D., INC. is a primary care clinic center in Victorville, CA. LOIDA V. GUEVARRA, M.D., INC. NPI is 1932186913. The provider is registered as an organization entity type.

The provider's business location address is:

12760 HESPERIA RD
SUITE A
VICTORVILLE, CA
ZIP 92395-806
Phone: (760) 955-1166
Fax: (760) 955-1499

The provider's authorized official is Loida V Guevarra .
The authorized official title is President and has the following contact phone number (760) 955-1166.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 7/14/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareA53408CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101991-0023OTHERCALIFORNIAPACIFICARE
200A534082MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3A53408OTHERCALIFORNIABLUE SHIELD
405256000004OTHERCALIFORNIAIVHP
500A534080MEDICAIDCALIFORNIA
6046950OTHERCALIFORNIAHEALTHNET
7G11827MEDICARE UPINCALIFORNIA
8805219OTHERCALIFORNIAAETNA

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

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