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Individual

IVAN GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Mailing address
25383 LAS PALOMAS DR, MORENO VALLEY, CA 92557-7510

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
27297
CA

Other

Enumeration date
06/21/2018
Last updated
06/21/2018
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