Individual
LUIS GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
955 CARRILLO DR STE 103, LOS ANGELES, CA 90048-5400
(310) 854-0529
Mailing address
701 S GARFIELD AVE APT A, MONTEREY PARK, CA 91754-3975
(626) 789-4158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51314
CA
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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