Healthcare Provider Details

I. General information

NPI: 1417005703
Provider Name (Legal Business Name): RAYNADO GARCIA MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 01/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

682 E VISALIA RD
FARMERSVILLE CA
93223-1641
US

IV. Provider business mailing address

PO BOX 365
FARMERSVILLE CA
93223-0365
US

V. Phone/Fax

Practice location:
  • Phone: 559-594-4564
  • Fax: 559-594-5559
Mailing address:
  • Phone: 559-594-4564
  • Fax: 559-594-5559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RITA NYE
Title or Position: BILLING SUPER
Credential:
Phone: 559-783-1181