Doctor Name: | DR. JOSE LUIS GARCIA |
NPI Number: | 1053360362 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A48538 |
Business Practice Address: | 4837 Huntington Dr N Los Angeles, CA - 900321953 |
Business Phone Number: | 3233439460 |
Business Fax Number: | 3233439466 |
Mailing Address: | 711 W College St, 628 LOS ANGELES |
State: | CA |
Postal Code: | 900121163 |
Phone Number: | 2138308920 |
Fax Number: | 2138308925 |
NPI Enumeration Date: | 05/06/2006 |
NPI Last Update Date: | 09/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A48538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |