Healthcare Provider Details

I. General information

NPI: 1801998133
Provider Name (Legal Business Name): LUZ ADRIANA GARCIA ARISTIZABAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 07/28/2020
Certification Date: 07/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1093 11TH ST
REEDLEY CA
93654-2950
US

IV. Provider business mailing address

1093 11TH ST
REEDLEY CA
93654-2950
US

V. Phone/Fax

Practice location:
  • Phone: 559-743-7340
  • Fax: 559-743-7395
Mailing address:
  • Phone: 559-743-7340
  • Fax: 559-743-7395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA80314
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: