{"provider":{"id":"394cd85f-dc8f-47dd-a597-f4c014b80bfc","slug":"annaguanche","name":"Anna Guanche","title":null,"specialty":"","description":"Anna Guanche’s Bella Skin Institute biography describes a Calabasas practice focused on skin conditions, cosmetic dermatology and laser procedures.","phone":null,"email":null,"website":null,"imageUrl":"/images/providers/anna-guanche-official-preview.webp","imageSource":"https://www.bellaskininstitute.com/pages/dr-anna-guanche","imageClickThroughUrl":"https://www.bellaskininstitute.com/pages/dr-anna-guanche","imageAlt":"Portrait of Anna Guanche","imageUsage":"local-source-preview","directorySlug":"dermatologists-beverly-hills","clinicianType":null,"languages":null,"careModes":[],"credentials":[],"locations":[],"specializations":[],"nameParts":null,"story":null,"quickSummary":null,"atAGlance":{"overview":{"text":"The cited biography describes care for skin conditions, cosmetic dermatology, and laser procedures. It identifies Calabasas, while this directory listing remains Beverly Hills; the location is unresolved.","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"]},"facts":[{"label":"Practice-stated field","value":"Dermatology","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"]},{"label":"Care focus","value":"Skin conditions · cosmetic dermatology · laser procedures","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"]},{"label":"Location conflict","value":"Biography: Calabasas · directory: Beverly Hills","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"]}],"humanDetail":{"label":"Teaching activity","text":"The biography describes her earlier teaching of dermatology residents at UCLA’s Olive View program.","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"]}},"licenseEvidence":null,"mediaGallery":null,"locationNote":null,"sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"],"practiceStatusObservations":null,"city":"","state":"","country":"","dataVerifiedAt":"2026-02-21T00:00:00.000Z","createdAt":"2026-02-21T00:00:00.000Z","publicEvidenceDisclosure":{"status":"source-stated","label":"Source-stated narrative","summary":"The linked practice biography provides a source-stated narrative retrieved 2026-10-12; it is not independent identity, credential, contact, or current-practice verification.","cardSummary":"Source-stated narrative · retrieved 2026-10-12; current credential and practice checks are incomplete.","cardAdditionalNote":"The cited biography names Calabasas; Beverly Hills directory relevance remains flagged.","metadataDescription":"Anna Guanche. Source-stated narrative retrieved 2026-10-12; current credentials and practice details remain unverified.","shareSummary":"Source-stated narrative · current checks incomplete","additionalNote":"This source does not validate older promotional, credential, contact, or service claims.","researchHref":"/annaguanche","researchLinkLabel":"View source, date, and limitations"},"publicPortraitDisclosure":{"status":"local-source-preview","summary":"Small source-linked image preview served locally; the source page is linked.","note":"A modest, locally served preview is based on the linked named source image. It is shown as a source-linked reference, not an OpenHealthcare-owned original photograph. This does not state that the publisher granted a license or make a legal determination. The image is served locally so the source host is not contacted to render it. The retained Bella Skin Institute image candidate was visually inspected on 2026-10-13 and is a portrait associated with Anna Guanche. Original: 400×600 JPEG at https://www.bellaskininstitute.com/cdn/shop/files/2H0A7297-retouched_1_400x.jpg?v=1700311495; local delivery: 400×600 WebP, no enlargement or crop. The profile links to the named biography. Local portrait delivery does not establish a Beverly Hills service location; the biography's Calabasas geography and unresolved directory relevance remain visible. Source association is not independent identity verification or rights clearance."},"publicChangeHistory":[{"id":"feb-2026-annaguanche-url-slug","recordedOn":"2026-02-21","field":"URL Slug","whatChanged":"URL Slug was corrected in the February 2026 audit.","reason":"The audit recorded a route correction to match the provider identity used in that report.","outcome":"corrected-superseded","source":{"kind":"audit-report","label":"February 2026 accuracy audit","href":"/audit-feb-2026","note":"The report records its audit date, not a separate retrieval date or current credential check for each field."},"previousValue":"/annagiuliani","valueRecorded":"/annaguanche"},{"id":"feb-2026-annaguanche-address","recordedOn":"2026-02-21","field":"Address","whatChanged":"Address was corrected in the February 2026 audit.","reason":"The audit identified the earlier value as outdated or incorrect after its documented multi-source checks.","outcome":"corrected-superseded","source":{"kind":"audit-report","label":"February 2026 accuracy audit","href":"/audit-feb-2026","note":"The report records its audit date, not a separate retrieval date or current credential check for each field."},"previousValue":"9735 Wilshire Blvd, Suite 203","valueRecorded":"9675 Brighton Way, Suite 410"},{"id":"feb-2026-annaguanche-phone","recordedOn":"2026-02-21","field":"Phone","whatChanged":"Phone was corrected in the February 2026 audit.","reason":"The audit identified the earlier value as outdated or incorrect after its documented multi-source checks.","outcome":"corrected-superseded","source":{"kind":"audit-report","label":"February 2026 accuracy audit","href":"/audit-feb-2026","note":"The report records its audit date, not a separate retrieval date or current credential check for each field."},"previousValue":"818-225-0117","valueRecorded":"310-614-3895"}],"publicChangeHistoryCompleteness":"partial","publicChangeHistoryContext":"This is available documented history and may be incomplete. recordedOn dates are when a change or decision was recorded, not source-retrieval dates or current credential checks. previousValue and valueRecorded are historical values, not current claims.","historicalContactDetails":{"status":"unverified-historical","actionable":false,"recordedOn":null,"dateNote":"No contact-specific observation or retrieval date is recorded. The earlier app-record date is not a contact verification date.","fields":[{"field":"phone","label":"Earlier recorded phone (unverified)","value":"310-614-3895"},{"field":"website","label":"Earlier recorded website (unverified)","value":"https://www.bellaskininstitute.com/"}],"withheldEmail":{"status":"withheld-pending-evidence","reason":"The underlying record contains an email field, but attached evidence does not establish that it is an intended public practice mailbox."}},"sourceStatedNarrativeOnly":true,"presentationStatus":"source-stated-narrative-only","publicResearch":{"sources":[{"id":"annaguanche-bella-skin-institute-biography-2026-10-01","url":"https://www.bellaskininstitute.com/pages/dr-anna-guanche","label":"Bella Skin Institute biography — Anna Guanche","sourceType":"official-provider-profile","retrievedDate":"2026-10-12","retrievalMethod":"web-retrieval","publisher":"Bella Skin Institute","note":"Source date not stated. The attached narrative is source-stated and was not independently checked.","verificationStatus":"source-stated"}],"profileSections":[{"id":"394cd85f-dc8f-47dd-a597-f4c014b80bfc:narrative:1:2026-10-01","heading":"Source-stated practice profile","text":"Anna Guanche’s Bella Skin Institute biography describes a Calabasas practice focused on skin conditions, cosmetic dermatology and laser procedures.","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"]},{"id":"394cd85f-dc8f-47dd-a597-f4c014b80bfc:narrative:2:2026-10-01","heading":"Teaching described in the biography","text":"It also describes her earlier teaching of dermatology residents at UCLA’s Olive View program.","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"]}],"claimEvidence":[{"claim":"Anna Guanche’s Bella Skin Institute biography describes a Calabasas practice focused on skin conditions, cosmetic dermatology and laser procedures.","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"],"verificationStatus":"source-stated"},{"claim":"It also describes her earlier teaching of dermatology residents at UCLA’s Olive View program.","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"],"verificationStatus":"source-stated"}],"reviewNotes":[{"topic":"research-limits","status":"needs-current-review","observedOn":"2026-10-01","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"],"text":"The source date is not stated. Current license, board certification, insurance participation, languages, gender, accepting-new-patient status, and appointment availability were not checked. The cited biography identifies Calabasas, so Beverly Hills directory relevance remains flagged; existing membership and location are unchanged. This source does not support older promotional, credential, contact, or service claims."}],"mediaReview":{"status":"source-stated","note":"The retained Bella Skin Institute image candidate was visually inspected on 2026-10-13 and is a portrait associated with Anna Guanche. Original: 400×600 JPEG at https://www.bellaskininstitute.com/cdn/shop/files/2H0A7297-retouched_1_400x.jpg?v=1700311495; local delivery: 400×600 WebP, no enlargement or crop. The profile links to the named biography. Local portrait delivery does not establish a Beverly Hills service location; the biography's Calabasas geography and unresolved directory relevance remain visible. Source association is not independent identity verification or rights clearance.","checkedOn":"2026-10-13","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"],"structuredDataImage":"withheld"},"publicEvidenceDisclosure":{"status":"source-stated","label":"Source-stated narrative","summary":"The linked practice biography provides a source-stated narrative retrieved 2026-10-12; it is not independent identity, credential, contact, or current-practice verification.","cardSummary":"Source-stated narrative · retrieved 2026-10-12; current credential and practice checks are incomplete.","cardAdditionalNote":"The cited biography names Calabasas; Beverly Hills directory relevance remains flagged.","metadataDescription":"Anna Guanche. Source-stated narrative retrieved 2026-10-12; current credentials and practice details remain unverified.","shareSummary":"Source-stated narrative · current checks incomplete","additionalNote":"This source does not validate older promotional, credential, contact, or service claims.","researchHref":"/annaguanche","researchLinkLabel":"View source, date, and limitations"}}},"jsonLd":{"@context":"https://schema.org","@type":"Person","@id":"https://openhealthcare.org/entity/394cd85f-dc8f-47dd-a597-f4c014b80bfc","name":"Anna Guanche","description":"Anna Guanche. Source-stated narrative retrieved 2026-10-12; current credentials and practice details remain unverified.","url":"https://openhealthcare.org/annaguanche","isPartOf":{"@type":"WebSite","@id":"https://openhealthcare.org","name":"OpenHealthcare.org","url":"https://openhealthcare.org"},"publisher":{"@type":"Organization","name":"OpenHealthcare.org","url":"https://openhealthcare.org"},"dateModified":"2026-10-01"},"meta":{"indexable":true,"sources":[{"id":"annaguanche-bella-skin-institute-biography-2026-10-01","url":"https://www.bellaskininstitute.com/pages/dr-anna-guanche","label":"Bella Skin Institute biography — Anna Guanche","sourceType":"official-provider-profile","retrievedDate":"2026-10-12","retrievalMethod":"web-retrieval","publisher":"Bella Skin Institute","note":"Source date not stated. The attached narrative is source-stated and was not independently checked.","verificationStatus":"source-stated"}],"profileSections":[{"id":"394cd85f-dc8f-47dd-a597-f4c014b80bfc:narrative:1:2026-10-01","heading":"Source-stated practice profile","text":"Anna Guanche’s Bella Skin Institute biography describes a Calabasas practice focused on skin conditions, cosmetic dermatology and laser procedures.","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"]},{"id":"394cd85f-dc8f-47dd-a597-f4c014b80bfc:narrative:2:2026-10-01","heading":"Teaching described in the biography","text":"It also describes her earlier teaching of dermatology residents at UCLA’s Olive View program.","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"]}],"claimEvidence":[{"claim":"Anna Guanche’s Bella Skin Institute biography describes a Calabasas practice focused on skin conditions, cosmetic dermatology and laser procedures.","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"],"verificationStatus":"source-stated"},{"claim":"It also describes her earlier teaching of dermatology residents at UCLA’s Olive View program.","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"],"verificationStatus":"source-stated"}],"reviewNotes":[{"topic":"research-limits","status":"needs-current-review","observedOn":"2026-10-01","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"],"text":"The source date is not stated. Current license, board certification, insurance participation, languages, gender, accepting-new-patient status, and appointment availability were not checked. The cited biography identifies Calabasas, so Beverly Hills directory relevance remains flagged; existing membership and location are unchanged. This source does not support older promotional, credential, contact, or service claims."}],"mediaReview":{"status":"source-stated","note":"The retained Bella Skin Institute image candidate was visually inspected on 2026-10-13 and is a portrait associated with Anna Guanche. Original: 400×600 JPEG at https://www.bellaskininstitute.com/cdn/shop/files/2H0A7297-retouched_1_400x.jpg?v=1700311495; local delivery: 400×600 WebP, no enlargement or crop. The profile links to the named biography. Local portrait delivery does not establish a Beverly Hills service location; the biography's Calabasas geography and unresolved directory relevance remain visible. Source association is not independent identity verification or rights clearance.","checkedOn":"2026-10-13","sourceIds":["annaguanche-bella-skin-institute-biography-2026-10-01"],"structuredDataImage":"withheld"},"editorialRefresh":{"refreshedOn":"2026-10-01","level":"presentation-only","researchGap":"Five of the six existing profiles now carry source-stated, sentence-mapped narratives and citations retrieved 2026-10-01. One intended identity remains unresolved: David Kim's saved website describes a different Fairfax pain clinician; no facts or imagery from that site were imported and no replacement person was guessed. Current license, board-certification, insurance participation, language, gender, accepting-new-patient, appointment availability, and contact checks remain incomplete. Anna Guanche's cited biography names Calabasas, so Beverly Hills directory relevance remains flagged. Simon Ourian's portrait gap is resolved by a named art-site image inspected and delivered locally on 2026-10-16; its page title and image signature use MD while the existing profile title is DO, and this discrepancy remains unresolved. His specialty, board status, and current license remain unverified. These narratives do not validate legacy promotional, credential, contact, or service claims. Existing identities, routes, roster membership, review/publication/indexing states, and earlier photo observations remain intact. Harold Lancer's 2026-10-02 local biography screenshot is documented below; his direct remote image remains withheld.","sourceBackedPaths":["annaguanche","haroldlancer","jessicawu","simonourian","jasonemer"],"sourceStatedNarrativeOnlyPaths":["annaguanche","haroldlancer","jessicawu","simonourian","jasonemer"],"identityHolds":{"davidkim":{"status":"unresolved","observedOn":"2026-10-01","summary":"David Kim identity warning: the stored drdavidkimmd.com site describes an interventional pain practice in Fairfax, Virginia, and does not establish a match to this Beverly Hills dermatologist record. Its photos, credentials, and contact claims are excluded from this import. The intended identity remains unresolved; no replacement person was guessed."}},"editorialObservations":[{"observedOn":"2026-10-14","text":"Jason Emer now has a newly inspected, modest locally served portrait from his named official biography, linked to that source. This resolves his earlier photo-enrichment gap, not an erased-image incident. The October 1 observation below is historical; Simon Ourian's portrait gap remains. Photo inspection does not clear clinical, location, contact, review or indexing uncertainty; reuse terms remain unknown."},{"observedOn":"2026-10-01","text":"Photo-only outcome: Anna Guanche's saved candidate passed in-app desktop and mobile image-load and framing checks. Her image host returned no Set-Cookie headers; the browser cookie store stayed empty and no known tracking requests occurred. Her portrait/name link targets her permanent profile, with the official biography link separate. Harold Lancer's candidate loaded, but lancerderm.com returned Set-Cookie with the image response, so it remains withheld under the no-cookie policy. Lancer's saved review distinguished his individual portrait from a patient-treatment image. Portrait checks do not verify biography, credentials, contact information, or practice status."},{"observedOn":"2026-10-02","text":"Under the owner's narrow authorization for local source-page screenshot previews, a clean 198 × 300 crop from the official Harold Lancer biography is stored locally and linked separately to https://lancerderm.com/dr-lancer/. The biography does not state the photo date. The separate remote image response set a cookie and remains withheld; the local crop is not represented as cookie-free remote delivery, identity or credential evidence, or rights-holder permission. The OpenHealthcare app serves the local crop and does not request the portrait from lancerderm.com."},{"observedOn":"2026-10-01","text":"Anna Guanche's saved official biography identifies Bella Skin Institute in Calabasas. Relevance to the Beverly Hills directory remains flagged for separate review; her existing membership and route are unchanged."},{"observedOn":"2026-10-01","text":"David Kim identity warning: the stored drdavidkimmd.com site describes an interventional pain practice in Fairfax, Virginia, and does not establish a match to this Beverly Hills dermatologist record. Its photos, credentials, and contact claims are excluded from this import. The intended identity remains unresolved; no replacement person was guessed."},{"observedOn":"2026-10-01","text":"Jessica Wu's saved candidate is a dark, side-facing portrait that was not clear enough for a useful small preview, so the neutral fallback remains. The alternate asset was not visually inspected and was not used."},{"observedOn":"2026-10-01","text":"Jason Emer and Simon Ourian remain without verified individual portrait candidates in the saved review; their neutral fallbacks remain."},{"observedOn":"2026-10-01","text":"A pinned research packet added exactly five two-sentence, source-stated professional narratives with sentence-level claim mappings and citations retrieved 2026-10-01. Those citations support only the attached narrative; no current license, board-certification, insurance, language, gender, new-patient, availability, or contact checks were performed. Provider-specific omissions and unresolved issues remain on the cited profiles. This narrative import does not change any portrait, directory member, identity, route, claim status, publication status, indexing state, or historical correction."},{"observedOn":"2026-10-16","text":"Simon Ourian's portrait gap is resolved for the ordinary preview: the exact full-face image shown on his named art-site About page was visually inspected and delivered locally. The direct source image response included Set-Cookie, but the app uses local bytes before interaction. The page title and image signature use MD while the stored profile title is DO; the conflict remains visible and unresolved. Reuse terms remain unknown and structured-data image output stays withheld. Existing Epione stories, clinical/specialty uncertainty, access details, identity, route, membership, and review/index states are unchanged."}]},"publicChangeHistory":[{"id":"feb-2026-annaguanche-url-slug","recordedOn":"2026-02-21","field":"URL Slug","whatChanged":"URL Slug was corrected in the February 2026 audit.","reason":"The audit recorded a route correction to match the provider identity used in that report.","outcome":"corrected-superseded","source":{"kind":"audit-report","label":"February 2026 accuracy audit","href":"/audit-feb-2026","note":"The report records its audit date, not a separate retrieval date or current credential check for each field."},"previousValue":"/annagiuliani","valueRecorded":"/annaguanche"},{"id":"feb-2026-annaguanche-address","recordedOn":"2026-02-21","field":"Address","whatChanged":"Address was corrected in the February 2026 audit.","reason":"The audit identified the earlier value as outdated or incorrect after its documented multi-source checks.","outcome":"corrected-superseded","source":{"kind":"audit-report","label":"February 2026 accuracy audit","href":"/audit-feb-2026","note":"The report records its audit date, not a separate retrieval date or current credential check for each field."},"previousValue":"9735 Wilshire Blvd, Suite 203","valueRecorded":"9675 Brighton Way, Suite 410"},{"id":"feb-2026-annaguanche-phone","recordedOn":"2026-02-21","field":"Phone","whatChanged":"Phone was corrected in the February 2026 audit.","reason":"The audit identified the earlier value as outdated or incorrect after its documented multi-source checks.","outcome":"corrected-superseded","source":{"kind":"audit-report","label":"February 2026 accuracy audit","href":"/audit-feb-2026","note":"The report records its audit date, not a separate retrieval date or current credential check for each field."},"previousValue":"818-225-0117","valueRecorded":"310-614-3895"}],"changeHistoryCompleteness":"partial","publicChangeHistoryContext":"This is available documented history and may be incomplete. recordedOn dates are when a change or decision was recorded, not source-retrieval dates or current credential checks. previousValue and valueRecorded are historical values, not current claims."}}