Doctor Name: | DR. MICHAEL JAMES GUICE |
NPI Number: | 1215944285 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 933573 |
Business Practice Address: | 1127 Wilshire Blvd # 1509 Los Angeles, CA - 90017 |
Business Phone Number: | 2134828600 |
Business Fax Number: | 2134828222 |
Mailing Address: | 1127 Wilshire Blvd, # 1509 LOS ANGELES |
State: | CA |
Postal Code: | 90017 |
Phone Number: | 2134828600 |
Fax Number: | 2134828222 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 09/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 933573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |