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NPI Code Detail

MEDICARE: LUIS GARCIA

MEDICARE: LUIS GARCIA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1356437495
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS GARCIA
Provider Business Mailing Address
First Line : 2010 E EL SEGUNDO BLVD.
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-3014
Country : US
Telephone Number : 310-637-0917
Fax Number :
Provider Business Practice Location Address
First Line : 2010 E EL SEGUNDO BLVD
Second Line :
City : COMPTON
State : CA
Zip : 90222-7109
Country : US
Telephone Number : 310-637-0917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 06/27/2013

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Directions to “ LUIS GARCIA ” Practice Location

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