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NPI Code Detail

MEDICARE: MR. VERNON NARON GARCIA MS, OTR/L

MEDICARE:  MR. VERNON NARON GARCIA  MS, OTR/L
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
1225X00000XOccupational Therapist14808CA

General Provider Information

NPI Number : 1699399204
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VERNON NARON GARCIA MS, OTR/L
Provider Business Mailing Address
First Line : 618 WILLOW ST APT C
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-5733
Country : US
Telephone Number : 510-479-3087
Fax Number :
Provider Business Practice Location Address
First Line : 2910 MCCLURE ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-3505
Country : US
Telephone Number : 510-836-3677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2020
Last Update Date : 05/31/2020

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