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NPI Code Detail

MEDICARE: JON PATRICK GARCIA DAVID NP-C

MEDICARE:   JON PATRICK GARCIA DAVID  NP-C
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
1363L00000XNurse Practitioner95001244CA
2363LG0600XGerontology Nurse Practitioner95001244CA

General Provider Information

NPI Number : 1811392871
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON PATRICK GARCIA DAVID NP-C
Provider Business Mailing Address
First Line : 16911 SAN FERNANDO MISSION BLVD # 398
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-4250
Country : US
Telephone Number : 626-818-6343
Fax Number :
Provider Business Practice Location Address
First Line : 9233 W PICO BLVD STE 230
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-1385
Country : US
Telephone Number : 310-356-8146
Fax Number : 310-356-8142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2014
Last Update Date : 06/25/2025

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Directions to “ JON PATRICK GARCIA DAVID NP-C” Practice Location

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