Doctor Name: | MELCHOR GARCIA |
NPI Number: | 1053775791 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | R113181214 |
Business Practice Address: | 9010 Burke St Unit #14 Pico Rivera, CA - 906604660 |
Business Phone Number: | 5627775719 |
Business Fax Number: | |
Mailing Address: | 9010 Burke St, Unit #14 PICO RIVERA |
State: | CA |
Postal Code: | 906604660 |
Phone Number: | 5627775719 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2016 |
NPI Last Update Date: | 04/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | R113181214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |