Provider Demographics
NPI:1376706721
Name:GUILLEN-MEDRANO, CLAUDIA GISELA
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:GISELA
Last Name:GUILLEN-MEDRANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31681 RIVERSIDE DR
Mailing Address - Street 2:SUITE L
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-7815
Mailing Address - Country:US
Mailing Address - Phone:951-674-9243
Mailing Address - Fax:951-974-9635
Practice Address - Street 1:31681 RIVERSIDE DR
Practice Address - Street 2:SUITE L
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-7815
Practice Address - Country:US
Practice Address - Phone:951-674-9243
Practice Address - Fax:951-974-9635
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor