| Guts | |
|
17332 Irvine Blvd Suite 232 Tustin CA 92780-3036 | |
| (714) 730-0838 | |
| Not Available |
| Full Name | Guts |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17332 Irvine Blvd, Tustin, California |
| Authorized Official Name and Position | Victoria Dominguez Ashimine (PRESIDENT) |
| Authorized Official Contact | 7144574326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guts 17332 Irvine Blvd Suite 232 Tustin CA 92780-3036 Ph: (714) 730-0838 | Guts 17332 Irvine Blvd Suite 232 Tustin CA 92780-3036 Ph: (714) 730-0838 |
| NPI Number | 1962685776 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962685776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34496 (California) | Primary |
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