Healthcare Provider Details

I. General information

NPI: 1316323736
Provider Name (Legal Business Name): ARTURO GARCIA PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2015
Last Update Date: 06/09/2021
Certification Date: 06/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1665 S IMPERIAL AVE STE D
EL CENTRO CA
92243-4247
US

IV. Provider business mailing address

1665 S IMPERIAL AVE STE D
EL CENTRO CA
92243-4247
US

V. Phone/Fax

Practice location:
  • Phone: 760-482-0212
  • Fax: 760-482-0166
Mailing address:
  • Phone: 760-482-0212
  • Fax: 760-482-0166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA52721
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: