Provider Demographics
NPI:1841381217
Name:GUZE, PHYLLIS A (MD)
Entity Type:Individual
Prefix:DR
First Name:PHYLLIS
Middle Name:A
Last Name:GUZE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:679 THAYER AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024
Mailing Address - Country:US
Mailing Address - Phone:310-268-3125
Mailing Address - Fax:310-268-4818
Practice Address - Street 1:11301 WILLSHIRE BLVD
Practice Address - Street 2:BLDG 500; RM 3210
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073
Practice Address - Country:US
Practice Address - Phone:310-268-3125
Practice Address - Fax:310-268-4818
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG 23384207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease