Provider Demographics
NPI:1922114180
Name:GARCIA, CAROLINE ORTIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:ORTIZ
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2333 MOWRY AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538
Mailing Address - Country:US
Mailing Address - Phone:510-796-0222
Mailing Address - Fax:510-796-7760
Practice Address - Street 1:2333 MOWRY AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538
Practice Address - Country:US
Practice Address - Phone:510-796-0222
Practice Address - Fax:510-796-7760
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2010-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA32216207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA26734Medicare UPIN