Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 30908 | CA |
NPI | 1588992762 |
---|---|
Provider Name | Eric Salvador Garcia |
First Address | Salinas, CA 93901-3302 |
Second Address | Salinas, CA 93901-3302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2009 |
Last Update Date | 25/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1015197928 | (02) | CA |
1015197928 | (05) | CA |