| Doctor Name: | DR. GUILLERMO E. PATINO |
| NPI Number: | 1356469761 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O |
| License Number: | 20A9738 |
| Business Practice Address: | Bas Hq Btry 3d Bn 12th Marines Fpo, OKINAWA - AP |
| Business Phone Number: | 09068613630 |
| Business Fax Number: | |
| Mailing Address: | 5146 Maynard St, SAN DIEGO |
| State: | CA |
| Postal Code: | 921223946 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A9738 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |