Provider Demographics
NPI:1497704761
Name:GARCIA, SYLVIA L (MD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:L
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15111 WHITTIER BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2180
Mailing Address - Country:US
Mailing Address - Phone:562-945-6440
Mailing Address - Fax:562-945-9121
Practice Address - Street 1:15111 WHITTIER BLVD STE 102
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2180
Practice Address - Country:US
Practice Address - Phone:562-945-6440
Practice Address - Fax:562-945-1855
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-06
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG70849207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG70849OtherMEDICAL LIC.
CA05D0992436OtherCLIA #
CAG70849OtherMEDICAL LIC.
CAG70849Medicare ID - Type UnspecifiedMEDICARE #