Provider Demographics
NPI:1982038345
Name:GUILDA SARRAF, M.D., INC.
Entity Type:Organization
Organization Name:GUILDA SARRAF, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GUILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARRAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-729-9191
Mailing Address - Street 1:22330 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2536
Mailing Address - Country:US
Mailing Address - Phone:310-953-4847
Mailing Address - Fax:
Practice Address - Street 1:22330 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2536
Practice Address - Country:US
Practice Address - Phone:310-953-4847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-21
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85498207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty