MEDICARE: DR. DONALD P GARCIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	G46236	CA

General Provider Information

NPI Number	:	1053324251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD P GARCIA MD

Provider Business Mailing Address
First Line	:	PO BOX 8385
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95298-0385
Country	:	US
Telephone Number	:	209-465-2711
Fax Number	:	209-465-2771

Provider Business Practice Location Address
First Line	:	221 TUXEDO COURT
Second Line	:	SUITE E
City	:	STOCKTON
State	:	CA
Zip	:	95204-5261
Country	:	US
Telephone Number	:	209-465-2711
Fax Number	:	209-465-2771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	07/08/2007

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