1275895732 NPI number — MRS. SIOMARA MAGALY GUZMAN VASQUEZ LMFT

Table of content: MRS. SIOMARA MAGALY GUZMAN VASQUEZ LMFT (NPI 1275895732)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275895732 NPI number — MRS. SIOMARA MAGALY GUZMAN VASQUEZ LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUZMAN VASQUEZ
Provider First Name:
SIOMARA
Provider Middle Name:
MAGALY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275895732
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/18/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
176 HOLSTON DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANCASTER
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93535-4531
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
213-507-2166
Provider Business Mailing Address Fax Number:
844-590-1562

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13286 CRANSTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SYLMAR
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91342-3215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-507-2166
Provider Business Practice Location Address Fax Number:
844-590-1562
Provider Enumeration Date:
06/11/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  119204 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 106H00000X , with the licence number: 115058 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1275895732 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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