Healthcare Provider Details

I. General information

NPI: 1528083680
Provider Name (Legal Business Name): DR. MICHAEL ANGEL GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 01/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25078 PEACHLAND AVE SUITE A
NEWHALL CA
91321-2533
US

IV. Provider business mailing address

25078 PEACHLAND AVE SUITE A
NEWHALL CA
91321-2533
US

V. Phone/Fax

Practice location:
  • Phone: 661-253-4420
  • Fax: 661-253-4425
Mailing address:
  • Phone: 661-253-4420
  • Fax: 661-253-4425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA76266
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: