# TERESA H GARCIA, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417181470
- **Authorized official:** DR. TERESA H GARCIA MD (OWNER)
- **Authorized official phone:** (714) 547-8700

## Contact information

- **Practice address:** 1140 W LA VETA AVE, SUITE 480, ORANGE, CA 92868-4223
- **Practice address phone:** (714) 547-8700
- **Practice address fax:** (714) 547-2460
- **Mailing address:** 1140 W LA VETA AVE, SUITE 480, ORANGE, CA 92868-4223
- **Mailing address phone:** (714) 547-8700
- **Mailing address fax:** (714) 547-2460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G71922 | CA | Yes |

## Other

- **Enumeration date:** 05/06/2009
- **Last updated:** 08/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G719220 | — | CA |
| 01 | — | 1841219243 | NPI - INDIVIDUAL | CA |
| 01 | — | G71922 | CA STATE LICENSE | CA |