Provider Demographics
NPI:1578443412
Name:GUARANTEED HEALTH MEDICAL GROUP WEST PC
Entity type:Organization
Organization Name:GUARANTEED HEALTH MEDICAL GROUP WEST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-814-1872
Mailing Address - Street 1:2445 AUGUSTINE DR
Mailing Address - Street 2:150 AND 201
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-3032
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2445 AUGUSTINE DR STE 150
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-3032
Practice Address - Country:US
Practice Address - Phone:720-434-3556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty