Healthcare Provider Details

I. General information

NPI: 1689695124
Provider Name (Legal Business Name): FRANCISCO A GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 MISSION ST STE 101
SAN FRANCISCO CA
94110-2431
US

IV. Provider business mailing address

2480 MISSION ST STE 101
SAN FRANCISCO CA
94110-2431
US

V. Phone/Fax

Practice location:
  • Phone: 415-282-4824
  • Fax: 415-282-8089
Mailing address:
  • Phone: 415-282-4824
  • Fax: 415-282-8089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberC-038541
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: