Provider Demographics
NPI:1760638712
Name:GARCIA, JAMIE EDWARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:EDWARDO
Last Name:GARCIA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:15757 EAST WHITTIER BLVD
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2338
Mailing Address - Country:US
Mailing Address - Phone:562-947-3307
Mailing Address - Fax:562-943-1090
Practice Address - Street 1:15757 EAST WHITTIER BOULEVARD
Practice Address - Street 2:5TH FLOOR
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2338
Practice Address - Country:US
Practice Address - Phone:562-947-3307
Practice Address - Fax:562-943-1090
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2015-12-14
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Provider Licenses
StateLicense IDTaxonomies
CAA1050012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGO046XMedicare PIN