Provider Demographics
NPI:1285924928
Name:GUARINO, JOSEPH (L AC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:GUARINO
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4962 DIANE CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-1327
Mailing Address - Country:US
Mailing Address - Phone:858-560-5874
Mailing Address - Fax:858-560-2967
Practice Address - Street 1:4962 DIANE CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-1327
Practice Address - Country:US
Practice Address - Phone:858-560-5874
Practice Address - Fax:858-560-2967
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4903171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist