Healthcare Provider Details

I. General information

NPI: 1316802028
Provider Name (Legal Business Name): MARIO ALFONSO GARCIA I DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13321 EARLE DR
GARDEN GROVE CA
92844-2252
US

IV. Provider business mailing address

16702 VALLEY VIEW AVE
LA MIRADA CA
90638-5824
US

V. Phone/Fax

Practice location:
  • Phone: 714-903-1100
  • Fax:
Mailing address:
  • Phone: 714-367-5310
  • Fax: 714-367-1683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberDC37502
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: