# JERRY S. GARCIA, M.D., INC

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

## Provider details

- **NPI number:** 1801215173
- **Authorized official:** DR. JERRY STEVEN GARCIA M.D. (PRESIDENT)
- **Authorized official phone:** (714) 535-4440

## Contact information

- **Practice address:** 1648 E LINCOLN AVE, ANAHEIM, CA 92805-2222
- **Practice address phone:** (714) 535-4440
- **Practice address fax:** (714) 490-2089
- **Mailing address:** 1648 E LINCOLN AVE, ANAHEIM, CA 92805-2222
- **Mailing address phone:** (714) 535-4440
- **Mailing address fax:** (714) 490-2089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G86442 | CA | Yes |

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 04/15/2014