Provider Demographics
NPI:1295570745
Name:GUERRERO, CHRISTIAN MICHAEL (CG)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:MICHAEL
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:CG
Other - Prefix:
Other - First Name:CHRISTIAN
Other - Middle Name:MICHAEL
Other - Last Name:GUERRERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CG
Mailing Address - Street 1:7184 TERRA COTTA RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-7944
Mailing Address - Country:US
Mailing Address - Phone:619-731-1920
Mailing Address - Fax:619-731-1920
Practice Address - Street 1:7184 TERRA COTTA RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-7944
Practice Address - Country:US
Practice Address - Phone:619-731-1920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker