Individual
DR. IVAN ALONZO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706
(626) 851-5256
Mailing address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-5256
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A99758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A99758
CALIFORNIA STATE MEDICAL
CA
Enumeration date
07/11/2007
Last updated
12/01/2021
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