Individual
MR. JOSEPH MATTHEW GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
488 E VALLEY PKWY, SUITE 211, ESCONDIDO, CA 92025-3363
(760) 294-2266
Mailing address
15611 POMERADO RD, FIFTH FLOOR, POWAY, CA 92064-2437
(858) 675-3100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
714667
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
22648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP22648
MEDICAL LICENSE
CA
Enumeration date
02/25/2013
Last updated
12/30/2015
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