Provider Demographics
NPI:1902234040
Name:CALIFORNIA GUZ MEDIC ANESTHESIA SERVICES PC
Entity Type:Organization
Organization Name:CALIFORNIA GUZ MEDIC ANESTHESIA SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NYAMBIO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:301-332-3609
Mailing Address - Street 1:2056 SEQUOIA CT
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3580
Mailing Address - Country:US
Mailing Address - Phone:301-332-3609
Mailing Address - Fax:313-270-7291
Practice Address - Street 1:2056 SEQUOIA CT
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3580
Practice Address - Country:US
Practice Address - Phone:301-332-3609
Practice Address - Fax:313-270-7291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontologyGroup - Single Specialty