MEDICARE: DR. LOUISE GARCIA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	G66663	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G66663	OTHER	CA	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134232457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUISE GARCIA M.D.

Provider Business Mailing Address
First Line	:	415 ROLLING OAKS DR
Second Line	:	SUITE 200
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91361-1029
Country	:	US
Telephone Number	:	805-777-7009
Fax Number	:	805-777-7686

Provider Business Practice Location Address
First Line	:	415 ROLLING OAKS DR
Second Line	:	SUITE 200
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91361-1029
Country	:	US
Telephone Number	:	805-777-7009
Fax Number	:	805-777-7686

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	07/09/2007

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