Provider Demographics
NPI:1164447678
Name:GARCIA, EDDIE M (MD)
Entity Type:Individual
Prefix:
First Name:EDDIE
Middle Name:M
Last Name:GARCIA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10942 RAMONA BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-2644
Mailing Address - Country:US
Mailing Address - Phone:626-443-1282
Mailing Address - Fax:626-350-6397
Practice Address - Street 1:10942 RAMONA BLVD
Practice Address - Street 2:STE A
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-2644
Practice Address - Country:US
Practice Address - Phone:626-443-1282
Practice Address - Fax:626-350-6397
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2008-05-09
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Provider Licenses
StateLicense IDTaxonomies
CAG53767207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC36128Medicare UPIN