Individual
BRENDON JAMES GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2656 EDITH AVE STE B, REDDING, CA 96001-3030
(530) 244-2882
(530) 244-3703
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56146
CA
Other
Enumeration date
09/07/2017
Last updated
01/03/2019
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