Provider Demographics
NPI:1518240860
Name:GUESS, EDGAR AUGUSTUS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:AUGUSTUS
Last Name:GUESS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:EDGAR
Other - Middle Name:AUGUSTUS
Other - Last Name:GUESS
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:328 S BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4821
Mailing Address - Country:US
Mailing Address - Phone:310-284-8891
Mailing Address - Fax:310-286-0797
Practice Address - Street 1:328 S BEVERLY DR
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4821
Practice Address - Country:US
Practice Address - Phone:310-284-8891
Practice Address - Fax:310-286-0797
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC29354207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology