Natalia Guzman
Adult Medicine · Los Angeles, CANPI 1124693528
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $497,041 of the $583,500 with a category attached, or 85.2%. Galderma Laboratories, L.p. accounts for 86.8% of it on its own, with 7 other manufacturers making up the rest. Among adult medicine clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 636 payments — averaging $917.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Galderma Laboratories, L.p.$507K
- AbbVie$75K
- Revance Therapeutics, Inc.$830
- Merz North America, Inc.$293
- Musculoskeletal Transplant Foundation Inc.$231
- Johnson & Johnson$156
- plus $174 from 2 others
What the payments were for
- Consulting fees$14,1532%
- Speaking & faculty fees$497,04185%
- Travel & lodging$59,15910%
- Food & beverage$13,1472%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Galderma Laboratories, L.p. | 500 | $506,704 |
| AbbVie(2 entities) | 99 | $75,113 |
| Revance Therapeutics, Inc. | 15 | $830 |
| Merz North America, Inc. | 6 | $293 |
| Musculoskeletal Transplant Foundation Inc. | 6 | $231 |
| Johnson & Johnson | 8 | $156 |
| Teva Pharmaceuticals USA, Inc. | 1 | $109 |
| Evofem Biosciences, Inc. | 1 | $65 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- BOTOX$39,524
- DYSPORT$621
- KYBELLA$500
- DAXXIFY$367
- Austedo XR$109
How this compares
$583,500 in reported general payments places this provider in the 95th percentile of 221 adult medicine providers in California.
Other adult medicine in Los Angeles
- Tin WongLos Angeles$18K
- Reza MesbahLos Angeles$8K
- Robert TracyLos Angeles$2K
- Paymon BanafsheLos Angeles$2K
- Susan HutchinsonLaguna Hills$1M
- Richard FauselRancho Mirage$30K
- Benedicto EstoestaValley Springs$22K
- Antoine DipsiaW. Sacramento$21K
- Patrick WelchArroyo Grande$20K
- Craig BobsonManteca$19K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.