MEDICARE: MARIO ALFONSO GARCIA I DC

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	111N00000X	Chiropractor	DC37502	CA

General Provider Information

NPI Number	:	1316802028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIO ALFONSO GARCIA I DC

Provider Business Mailing Address
First Line	:	16702 VALLEY VIEW AVE
Second Line	:
City	:	LA MIRADA
State	:	CA
Zip	:	90638-5824
Country	:	US
Telephone Number	:	714-367-5310
Fax Number	:	714-367-1683

Provider Business Practice Location Address
First Line	:	6820 LA TIJERA BLVD STE 217
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-1931
Country	:	US
Telephone Number	:	310-218-4300
Fax Number	:	310-218-4310

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

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	01/08/2026

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