Provider Demographics
NPI:1154480812
Name:GUO, ANDREW H (MD, MPH, MBA)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:H
Last Name:GUO
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Gender:M
Credentials:MD, MPH, MBA
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Mailing Address - Street 1:VA LOMA LINDA HEALTHCARE SYSTEM
Mailing Address - Street 2:11201 BENTON ST (111-OM)
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92357-0001
Mailing Address - Country:US
Mailing Address - Phone:909-825-7084
Mailing Address - Fax:909-777-3274
Practice Address - Street 1:VA LOMA LINDA HEALTHCARE SYSTEM
Practice Address - Street 2:11201 BENTON ST (111-OM)
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92357-0001
Practice Address - Country:US
Practice Address - Phone:909-825-7084
Practice Address - Fax:909-777-3274
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2008-02-15
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Provider Licenses
StateLicense IDTaxonomies
CAA813532083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A813530Medicaid
I43471Medicare UPIN