Individual
JUAN M GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24301 BARK ST, LAKE FOREST, CA 92630-5228
(949) 200-2956
(949) 297-3559
Mailing address
24301 BARK ST, LAKE FOREST, CA 92630-5228
(949) 200-2956
(949) 297-3559
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
306005334
CA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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