Provider Demographics
NPI:1689695124
Name:GARCIA, FRANCISCO A
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:A
Last Name:GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 MISSION ST
Mailing Address - Street 2:STE 101
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2431
Mailing Address - Country:US
Mailing Address - Phone:415-282-4824
Mailing Address - Fax:415-282-8089
Practice Address - Street 1:2480 MISSION ST
Practice Address - Street 2:STE 101
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2431
Practice Address - Country:US
Practice Address - Phone:415-282-4824
Practice Address - Fax:415-282-8089
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC-038541173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C385410OtherPROVIDER NUMBER
CAD38220Medicare UPIN