Individual
AMANDA M GARCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1321 N VERMONT AVE, SUITE 2, LOS ANGELES, CA 90027
(323) 661-5371
Mailing address
3766 PRIMAVERA AVE, LOS ANGELES, CA 90065
(323) 222-7504
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A34279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A342790
—
CA
Enumeration date
06/29/2007
Last updated
07/08/2007
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