# MAMDANI GARCIA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walk-in Family Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740748722
- **Authorized official:** MARIE KRISTINE GARCIA (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (209) 826-5913

## Contact information

- **Practice address:** 808 IOWA AVE, LOS BANOS, CA 93635-3450
- **Practice address phone:** (209) 826-5913
- **Practice address fax:** (209) 826-2652
- **Mailing address:** 808 IOWA AVE, LOS BANOS, CA 93635-3450
- **Mailing address phone:** (209) 826-5913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2019
- **Last updated:** 07/27/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20A14153 | CA LICENSE | CA |
| 01 | — | 272621 | LICENSE | NY |