Provider Demographics
NPI:1609004258
Name:CUAN, GUESH (LAC)
Entity Type:Individual
Prefix:
First Name:GUESH
Middle Name:
Last Name:CUAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10730 WHITE OAK AVE
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-4629
Mailing Address - Country:US
Mailing Address - Phone:818-368-3484
Mailing Address - Fax:888-511-4763
Practice Address - Street 1:10730 WHITE OAK AVE
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-4629
Practice Address - Country:US
Practice Address - Phone:818-368-3484
Practice Address - Fax:888-511-4763
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12975171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist