Individual
FRED GARCIA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
360 E OLIVE AVE, BURBANK, CA 91502-1215
(800) 700-8774
(818) 954-0096
Mailing address
2510 W SILVER LAKE DR, LOS ANGELES, CA 90039-3169
(323) 665-9018
(323) 663-0355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A24259
CA
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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