Organization
JERRY S. GARCIA, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY STEVEN GARCIA M.D. (PRESIDENT)
(714) 535-4440
Entity
Organization
Contact information
Practice address
1648 E LINCOLN AVE, ANAHEIM, CA 92805-2222
(714) 535-4440
(714) 490-2089
Mailing address
1648 E LINCOLN AVE, ANAHEIM, CA 92805-2222
(714) 535-4440
(714) 490-2089
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G86442
CA
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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