Doctor Name: | CARLOS GARCES |
NPI Number: | 1003081951 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CPO |
License Number: | C16152 |
Business Practice Address: | 10339 Zelzah Ave Apt 21 Northridge, CA - 913263540 |
Business Phone Number: | 8183003872 |
Business Fax Number: | |
Mailing Address: | 10339 Zelzah Ave Apt 21, NORTHRIDGE |
State: | CA |
Postal Code: | 913263540 |
Phone Number: | 8183003872 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2008 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225000000X |
License Number: | C16152 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Orthotic Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |