Organization
TERESA H GARCIA, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA H GARCIA MD (OWNER)
(714) 547-8700
Entity
Organization
Contact information
Practice address
1140 W LA VETA AVE, SUITE 480, ORANGE, CA 92868-4223
(714) 547-8700
(714) 547-2460
Mailing address
1140 W LA VETA AVE, SUITE 480, ORANGE, CA 92868-4223
(714) 547-8700
(714) 547-2460
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G71922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G719220
—
CA
01
—
1841219243
NPI - INDIVIDUAL
CA
01
—
G71922
CA STATE LICENSE
CA
Enumeration date
05/06/2009
Last updated
08/25/2009
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