Provider Demographics
NPI:1326064965
Name:GUZIEL, LAWRENCE PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:PATRICK
Last Name:GUZIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7230 MEDICAL CENTER DR STE 205
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-4007
Mailing Address - Country:US
Mailing Address - Phone:818-345-0664
Mailing Address - Fax:818-657-0131
Practice Address - Street 1:7230 MEDICAL CENTER DR STE 205
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-4007
Practice Address - Country:US
Practice Address - Phone:818-345-0664
Practice Address - Fax:818-657-0131
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG10627207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA89151Medicare UPIN