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NPI Code Detail

MEDICARE: DR. GORETTI GARCIA MD

MEDICARE: DR. GORETTI 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
1207Q00000XFamily Medicine PhysicianA79620CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1WA79620AOTHERPPIN

General Provider Information

NPI Number : 1487740619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GORETTI GARCIA MD
Provider Business Mailing Address
First Line : 950 SOUTH GRAND AVE
Second Line : 2ND FLOOR SOUTH
City : LOS ANGELES
State : CA
Zip : 90015
Country : US
Telephone Number : 323-669-4326
Fax Number : 323-953-3658
Provider Business Practice Location Address
First Line : 4816 E 3RD ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-1602
Country : US
Telephone Number : 323-780-4510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 03/07/2023

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Directions to “ DR. GORETTI GARCIA MD” Practice Location

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