Individual
DAVID JAMES GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6021 PACIFIC BLVD, SUITE 109, HUNTINGTON PARK, CA 90255-2953
(323) 581-8200
(323) 581-8222
Mailing address
6021 PACIFIC BLVD, SUITE 109, HUNTINGTON PARK, CA 90255-2953
(323) 581-8200
(323) 581-8222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PA12521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA12521
MEDICAL LICENSE
CA
Enumeration date
11/13/2006
Last updated
07/08/2007
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