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NPI Code Detail

MEDICARE: RICARDO GARCIA MFT-INERN

MEDICARE: RICARDO GARCIA MFT-INERN
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
1106H00000XMarriage & Family Therapist61625CA

General Provider Information

NPI Number : 1427359264
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO GARCIA MFT-INERN
Provider Business Mailing Address
First Line : 2000 TYLER AVE
Second Line :
City : SOUTH EL MONTE
State : CA
Zip : 91733-3543
Country : US
Telephone Number : 626-442-1400
Fax Number :
Provider Business Practice Location Address
First Line : 2000 TYLER AVE
Second Line :
City : SOUTH EL MONTE
State : CA
Zip : 91733-3543
Country : US
Telephone Number : 626-442-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2010
Last Update Date : 11/10/2010

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Directions to “ RICARDO GARCIA MFT-INERN” Practice Location

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