Healthcare Provider Details

I. General information

NPI: 1912084146
Provider Name (Legal Business Name): GEORGE H GARCIA MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 10/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 W CHAPMAN AVE STE. 204
ORANGE CA
92868
US

IV. Provider business mailing address

1031 W CHAPMAN AVE STE. 204
ORANGE CA
92868
US

V. Phone/Fax

Practice location:
  • Phone: 714-997-7000
  • Fax: 714-558-6966
Mailing address:
  • Phone: 714-997-7000
  • Fax: 714-558-6966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG80829
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE H GARCIA
Title or Position: PRESIDENT
Credential: MD
Phone: 714-997-7000