Mirene Guevarra

NPI 1649946302 · on the registry since 2021

Practice

Address: 425 Diamond Dr
Lake Elsinore, CA 92530
Phone: (951) 674-4114
Organisation at this address: Farid Saadat Md Inc
William M. Kelly M.D., Inc.
Dr. Jimmy Phan Medical Corporation
Total Care Family Medical Center Of Lake Elsinore Inc
Total Care Family Medical Center Of Lake Elsinore, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California