Provider Demographics
NPI:1891131447
Name:GARCIA, MEGHAN FARRELL (MD)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:FARRELL
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MEGHAN
Other - Middle Name:GIRMAN
Other - Last Name:FARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5609 J ST STE C
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3957
Mailing Address - Country:US
Mailing Address - Phone:916-453-8696
Mailing Address - Fax:
Practice Address - Street 1:5609 J ST STE C
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3957
Practice Address - Country:US
Practice Address - Phone:916-453-8696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0061681207K00000X
CAA133613207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology