Healthcare Provider Details

I. General information

NPI: 1215686506
Provider Name (Legal Business Name): EDGAR GARCIA SAIZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 03/08/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 CALIFORNIA ST
SAN FRANCISCO CA
94104-1503
US

IV. Provider business mailing address

555 CALIFORNIA ST
SAN FRANCISCO CA
94104-1503
US

V. Phone/Fax

Practice location:
  • Phone: 415-981-0250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA207709
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: