# CORONA SUPERIOR MEDICINE, INC.

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

## Provider details

- **NPI number:** 1912459397
- **Authorized official:** DR. NICOLE ANN GARCIA M.D. (DR/OWNER)
- **Authorized official phone:** (951) 735-3553

## Contact information

- **Practice address:** 1150 EL CAMINO AVE, SUITE 108, CORONA, CA 92879-1784
- **Practice address phone:** (951) 735-3553
- **Practice address fax:** (951) 735-3558
- **Mailing address:** 1150 EL CAMINO AVE, SUITE 108, CORONA, CA 92879-1784
- **Mailing address phone:** (951) 735-3553
- **Mailing address fax:** (951) 735-3558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A062657 | CA | Yes |

## Other

- **Enumeration date:** 11/01/2016
- **Last updated:** 11/01/2016