Individual provider · Type 1 NPI

Trevor Ray Guevara, SURFACE IDC

Military Health Care Provider · San Diego, CA

NPI number 1750879151 Active

Practice location

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000

Call (910) 548-3919 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1750879151

Trevor Ray Guevara, SURFACE IDC's National Provider Identifier is 1750879151, issued on May 1, 2018. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Diego, CA. The record was last updated on May 1, 2018.