Provider Demographics
NPI:1215365952
Name:GUARNERI INTEGRATIVE HEALTH, INC.
Entity Type:Organization
Organization Name:GUARNERI INTEGRATIVE HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERMINIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GUARNERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-232-2254
Mailing Address - Street 1:PO BOX 1272
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92038-1272
Mailing Address - Country:US
Mailing Address - Phone:858-232-2254
Mailing Address - Fax:858-459-2114
Practice Address - Street 1:6919 LA JOLLA BLVD
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-5427
Practice Address - Country:US
Practice Address - Phone:858-232-2254
Practice Address - Fax:858-459-2114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG78641207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty