Gerardo Fragoso Guardado

NPI 1699441204 · on the registry since 2021 · sole proprietor

Practice

Address: 1901 Carnegie Ave Ste 1c
Santa Ana, CA 92705
Phone: (714) 855-8895
Fax: (714) 327-0673
Organisation at this address: Footprints Behavioral Interventions, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 199

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-13

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