Individual
DR. JOHN EVERETT GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1 GRAND AVE, CALIFORNIA POLYTECHNIC UNIVERSITY, SAN LUIS OBISPO, CA 93407-9000
(805) 756-5373
(805) 756-5298
Mailing address
ONE GRAND AVE, CALIFORNIA POLYTECHNIC UNIVERSITY, SAN LUIS OBISPO, CA 93407-0210
(805) 756-5373
(805) 756-5298
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G57975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G579750
—
CA
Enumeration date
07/05/2006
Last updated
04/08/2010
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