Healthcare Provider Details

I. General information

NPI: 1164351011
Provider Name (Legal Business Name): MIGUEL ANGEL GARCIA CPHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E 2ND ST
CALEXICO CA
92231-2847
US

IV. Provider business mailing address

PO BOX 1423
CALEXICO CA
92232-1423
US

V. Phone/Fax

Practice location:
  • Phone: 760-618-7554
  • Fax:
Mailing address:
  • Phone: 760-618-7554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number164435
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: