Provider Demographics
NPI:1821869876
Name:GUZMAN HERNANDEZ, HECTOR (DC)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:GUZMAN HERNANDEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6232 LA SALLE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-2846
Mailing Address - Country:US
Mailing Address - Phone:510-200-9000
Mailing Address - Fax:
Practice Address - Street 1:6232 LA SALLE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-2846
Practice Address - Country:US
Practice Address - Phone:510-200-9000
Practice Address - Fax:510-788-4034
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor