Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 33120 | CA |
NPI | 1851772420 |
---|---|
Provider Name | Andres Garcia |
First Address | Carlsbad, CA 92011-1141 |
Second Address | Carlsbad, CA 92011-1141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2015 |
Last Update Date | 03/11/2015 |