Doctor Name: | RICHARD GARCIA |
NPI Number: | 1275931529 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 624771 |
Business Practice Address: | 12880 Rock Crest Ln Chino Hills, CA - 917091142 |
Business Phone Number: | 9512051477 |
Business Fax Number: | |
Mailing Address: | 12880 Rock Crest Ln, CHINO HILLS |
State: | CA |
Postal Code: | 917091142 |
Phone Number: | 9512051477 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2014 |
NPI Last Update Date: | 12/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 624771 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |