Basic Information
Provider Information
NPI: 1598865305
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUZON-CASTRO
FirstName: ERLINDA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1632 COUNTRY CLUB DR
Address2:  
City: REDLANDS
State: CA
PostalCode: 923737342
CountryCode: US
TelephoneNumber: 9097933048
FaxNumber:  
Practice Location
Address1: 11201 BENTON ST
Address2:  
City: LOMA LINDA
State: CA
PostalCode: 923571000
CountryCode: US
TelephoneNumber: 9098257084
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/22/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XE9216TXY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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