Doctor Name: | JESSE THOMAS GARCIA |
NPI Number: | 1174766000 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | D1844226 |
Business Practice Address: | 30009 Westlake Dr Menifee, CA - 925848016 |
Business Phone Number: | 9514456753 |
Business Fax Number: | 9515723507 |
Mailing Address: | 30009 Westlake Dr, MENIFEE |
State: | CA |
Postal Code: | 925848016 |
Phone Number: | 9514456753 |
Fax Number: | 9515723507 |
NPI Enumeration Date: | 04/08/2009 |
NPI Last Update Date: | 04/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | D1844226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |