Provider Demographics
NPI:1124226691
Name:GARZA, CESAR (ATC)
Entity Type:Individual
Prefix:MR
First Name:CESAR
Middle Name:
Last Name:GARZA
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 CABRILLO PARK DR.
Mailing Address - Street 2:G2
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-3135
Mailing Address - Country:US
Mailing Address - Phone:714-785-3660
Mailing Address - Fax:714-513-2979
Practice Address - Street 1:2802 S FLOWER ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3935
Practice Address - Country:US
Practice Address - Phone:714-513-2974
Practice Address - Fax:714-513-2979
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer