SUSAN GUAJARDO


Address: 2695 Country Ln, Westlake Village, CA 91361-5534
Phone: 8052178733

SUSAN GUAJARDO (NPI# 1154943926) 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) 1154943926
Entity Type Individual
Full Name SUSAN GUAJARDO
Credential RN-REGISTERED NURSE
Practice Address 2695 Country Ln
Westlake Village
CA 91361-5534
Mailing Address 5776 Lindero Canyon Rd Ste D-361
Westlake Village
CA 91362-6428
Practice Telephone 8052178733
Practice Fax Number 8052729382
Mailing Telephone 8052178733
Mailing Fax Number 8052729382
Enumeration Date 2020-05-14
Last Update Date 2020-05-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
556522 CA Nursing Service Providers

Office Location

Street Address 2695 COUNTRY LN
City WESTLAKE VILLAGE
State CA
Zip Code 91361-5534

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1851839419 Casey J. Simon Counselor 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 2017-02-03
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1932655735 Sherry Safavi Counselor 677 Colorado Blivd, Los Angeles, CA 91361 2016-08-31
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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

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Competitor

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City WESTLAKE VILLAGE
Zip Code 91361

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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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