Organization
CORONA SUPERIOR MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE ANN GARCIA M.D. (DR/OWNER)
(951) 735-3553
Entity
Organization
Contact information
Practice address
1150 EL CAMINO AVE, SUITE 108, CORONA, CA 92879-1784
(951) 735-3553
(951) 735-3558
Mailing address
1150 EL CAMINO AVE, SUITE 108, CORONA, CA 92879-1784
(951) 735-3553
(951) 735-3558
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A062657
CA
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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