Provider Information for 1881198554
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RICHARD ROBERT GARCIA
Sex: Male
NPI: 1881198554
Last Updated: 2018-03-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1881198554 | ||||||||
| Enumeration Date | 2018-03-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2471 MYRTLE BEACH WAY CHULA VISTA, CA 91915-2150 United States Phone: 619-254-1710 | Fax: | ||||||||
| Primary Practice Address | 2471 MYRTLE BEACH WAY CHULA VISTA, CA 91915-2150 United States Phone: 619-254-1710 | Fax: | ||||||||
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