Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A115417 | CA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | A115417 | CA |
NPI | 1184829442 |
---|---|
Provider Name | Dr. Gabriel Garcia-Diaz |
First Address | Merced, CA 95348-3156 |
Second Address | Merced, CA 95348-3156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 18/04/2018 |