MEDICARE: JERRY STEVEN GARCIA MD

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
1	207Q00000X	Family Medicine Physician	G86442	CA

General Provider Information

NPI Number	:	1881617397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERRY STEVEN GARCIA MD

Provider Business Mailing Address
First Line	:	2342 VISTA RD
Second Line	:
City	:	LA HABRA HEIGHTS
State	:	CA
Zip	:	90631-8512
Country	:	US
Telephone Number	:	714-766-2646
Fax Number	:

Provider Business Practice Location Address
First Line	:	2342 VISTA RD
Second Line	:
City	:	LA HABRA HEIGHTS
State	:	CA
Zip	:	90631-8512
Country	:	US
Telephone Number	:	714-766-2646
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	06/07/2024

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