Provider Demographics
NPI:1437273687
Name:GARCIA, PETER LEANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:LEANDRO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:117 WEST BUNNY AVENUE
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-2805
Mailing Address - Country:US
Mailing Address - Phone:805-739-3968
Mailing Address - Fax:805-922-6101
Practice Address - Street 1:116 SOUTH PALISADE DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SANTA MARIA,
Practice Address - State:CA
Practice Address - Zip Code:93454-8905
Practice Address - Country:US
Practice Address - Phone:805-739-3968
Practice Address - Fax:805-922-6101
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA1121732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB244946OtherMEDICARE ID