Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 32184 | CA |
NPI | 1003186792 |
---|---|
Provider Name | Dr. Alfred Salomon Garcia |
First Address | Upland, CA 91784 |
Second Address | Upland, CA 91784-9179 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2012 |
Last Update Date | 11/01/2012 |