EDNAGRACE GUILLEN NP
NPI 1114381936
Nurse Practitioner - Family in South Gate, CA

Active since April 07, 2016
3050 TWEEDY BLVD, SOUTH GATE, CA 90280(323) 357-0700 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ednagrace Guillen Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDNAGRACE GUILLEN NP (NPI 1114381936) is an individual family provider in South Gate, California, licensed in California (95002989) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1114381936
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDNAGRACE GUILLENCredential: NP
Location Address3050 TWEEDY BLVDSouth Gate, CA 90280
Mailing Address12727 Brian CtCerritos, CA 90703-1117 · (562) 881-6545
Sole ProprietorYes
Enumeration DateApril 7, 2016
NPI 1114381936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95002989
3050 TWEEDY BLVD, South Gate, CA 90280

Other Names 1

Professional Name (2)Grace Guillen

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3050 TWEEDY BLVD
SOUTH GATE, CA 90280
Family Medicine
3050 TWEEDY BLVD
SOUTH GATE, CA 90280
Exclusive Provider Organization
3050 TWEEDY BLVD
SOUTH GATE, CA 90280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ednagrace Guillen's NPI number?

The NPI number for Ednagrace Guillen is 1114381936. It was assigned to this individual provider in the NPPES registry on April 7, 2016. The provider is also known as Grace Guillen.

Where is Ednagrace Guillen located?

Ednagrace Guillen practices at 3050 Tweedy Blvd, South Gate, CA 90280. The listed phone number is (323) 357-0700.

What is Ednagrace Guillen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ednagrace Guillen was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.