Provider Demographics
NPI:1477118941
Name:GUIN, NATIYA ANNE (ND)
Entity Type:Individual
Prefix:
First Name:NATIYA
Middle Name:ANNE
Last Name:GUIN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11160 VISTA SORRENTO PKWY APT 104
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-7613
Mailing Address - Country:US
Mailing Address - Phone:310-266-8929
Mailing Address - Fax:
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:310-266-8929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1070175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath