Individual
LUIS OBISPO GARCIA-NIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12555 GARDEN GROVE BLVD STE 202, GARDEN GROVE, CA 92843-1903
(714) 394-5767
(714) 516-9860
Mailing address
12555 GARDEN GROVE BLVD STE 202, GARDEN GROVE, CA 92843-1903
(714) 394-5767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A33647
CA
208D00000X
General Practice Physician
Primary
A33647
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A336470
—
CA
Enumeration date
02/05/2007
Last updated
06/23/2026
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