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NPI Code Detail

MEDICARE: MICHAEL GARCIA RN

MEDICARE: MICHAEL GARCIA RN
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
1163W00000XRegistered Nurse658495CA

General Provider Information

NPI Number : 1861192320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL GARCIA RN
Provider Business Mailing Address
First Line : 1275 8TH ST
Second Line :
City : ARCATA
State : CA
Zip : 95521-5770
Country : US
Telephone Number : 707-826-8633
Fax Number : 707-826-8638
Provider Business Practice Location Address
First Line : 1275 8TH ST
Second Line :
City : ARCATA
State : CA
Zip : 95521-5770
Country : US
Telephone Number : 707-826-8633
Fax Number : 707-826-8638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2023
Last Update Date : 03/03/2023

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