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NPI Code Detail

MEDICARE: CARLOS M. GARCIA HPP, CORPORATION

MEDICARE: CARLOS M. GARCIA HPP, CORPORATION
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
1261QM2500XMedical Specialty Clinic/CenterA42509CA

General Provider Information

NPI Number : 1699169037
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARLOS M. GARCIA HPP, CORPORATION
Provider Business Mailing Address
First Line : 1392 E PALOMAR ST STE 501
Second Line :
City : CHULA VISTA
State : CA
Zip : 91913-1895
Country : US
Telephone Number : 619-271-4059
Fax Number : 619-271-7451
Provider Business Practice Location Address
First Line : 1392 E PALOMAR ST STE 501
Second Line :
City : CHULA VISTA
State : CA
Zip : 91913-1895
Country : US
Telephone Number : 619-271-4059
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CARLOS M GARCIA
Credential : M.D.
Telephone Number : 619-271-4059
Provider Enumeration Date : 03/24/2015
Last Update Date : 03/24/2015

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