Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jack L Guccione, MD, MPH

Individual provider Specialist · NPI 1174529010

Dr. Jack L Guccione, MD, MPH is a Specialist in Fortuna, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

2404 Newburg Rd
Fortuna, CA 95540-2818
Phone: (707) 725-8770
Fax: (707) 725-8773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G66333 (CA)

Record details

NPI number1174529010
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorYes
NPI enumeratedJune 24, 2005
Last updated in NPPESOctober 25, 2007

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