Doctor Name: | ARIEL GARCIA |
NPI Number: | 1164648457 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C50691 |
Business Practice Address: | 22807 Barton Rd Grand Terrace, CA - 923135208 |
Business Phone Number: | 9097832773 |
Business Fax Number: | 9097836625 |
Mailing Address: | 22807 Barton Rd, GRAND TERRACE |
State: | CA |
Postal Code: | 923135208 |
Phone Number: | 9097832773 |
Fax Number: | 9097836625 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C50691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |