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NPI Code Detail

MEDICARE: MARTHA GARCIA RN

MEDICARE: MARTHA GARCIA RN
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
1163WC1500XCommunity Health Registered Nurse568750CA

General Provider Information

NPI Number : 1194853200
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA GARCIA RN
Provider Business Mailing Address
First Line : 5202 UNIVERSITY AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92105-2268
Country : US
Telephone Number : 619-229-5432
Fax Number :
Provider Business Practice Location Address
First Line : 5202 UNIVERSITY AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92105-2268
Country : US
Telephone Number : 619-229-5432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 10/10/2011

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