Basic Information
Provider Information
NPI: 1235526427
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUZMAN-SUAREZ
FirstName: EDGAR
MiddleName: XAVIER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 38600 MEDICAL CENTER DR
Address2:  
City: PALMDALE
State: CA
PostalCode: 935514483
CountryCode: US
TelephoneNumber: 6613825000
FaxNumber:  
Practice Location
Address1: 38600 MEDICAL CENTER DR
Address2:  
City: PALMDALE
State: CA
PostalCode: 935514483
CountryCode: US
TelephoneNumber: 6613825000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/25/2015
LastUpdateDate: 01/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/04/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XA168019CAY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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