Healthcare Provider Details

I. General information

NPI: 1760066096
Provider Name (Legal Business Name): M&G GARCIA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 05/12/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4240 TEQUESQUITE AVE
RIVERSIDE CA
92501-4016
US

IV. Provider business mailing address

7231 BOULDER AVE # 610
HIGHLAND CA
92346-3313
US

V. Phone/Fax

Practice location:
  • Phone: 951-684-8000
  • Fax:
Mailing address:
  • Phone: 951-505-9908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: AMY GARCIA
Title or Position: CEO
Credential:
Phone: 951-505-9908