Provider Demographics
NPI:1326497082
Name:CITRIN, GUY (ND)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:
Last Name:CITRIN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8920 WILSHIRE BLVD STE 610
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2006
Mailing Address - Country:US
Mailing Address - Phone:424-389-3547
Mailing Address - Fax:833-551-4828
Practice Address - Street 1:8920 WILSHIRE BLVD STE 610
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2006
Practice Address - Country:US
Practice Address - Phone:424-389-3547
Practice Address - Fax:833-551-4828
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-03
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND991207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine