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NPI Code Detail

MEDICARE: DR. CARLOS MARCELINO GARCIA M.D.

MEDICARE: DR. CARLOS MARCELINO 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
1208000000XPediatrics PhysicianA42509CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417959370
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS MARCELINO GARCIA M.D.
Provider Business Mailing Address
First Line : 1392 E PALOMAR ST STE 501
Second Line :
City : CHULA VISTA
State : CA
Zip : 91913-1895
Country : US
Telephone Number : 619-271-4059
Fax Number : 619-271-7451
Provider Business Practice Location Address
First Line : 1392 E PALOMAR ST STE 501
Second Line :
City : CHULA VISTA
State : CA
Zip : 91913-1895
Country : US
Telephone Number : 619-271-4059
Fax Number : 619-271-7451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 12/16/2016

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