Provider Demographics
NPI:1669574968
Name:GARCIA, DON L (MD)
Entity type:Individual
Prefix:
First Name:DON
Middle Name:L
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1055 E. LA HABRA BLVD.
Mailing Address - Street 2:3
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631
Mailing Address - Country:US
Mailing Address - Phone:562-691-3247
Mailing Address - Fax:562-691-8296
Practice Address - Street 1:1055 E. LA HABRA BLVD.
Practice Address - Street 2:3
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631
Practice Address - Country:US
Practice Address - Phone:562-691-3247
Practice Address - Fax:562-691-8296
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2020-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG52231207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG522314OtherPROVIDER NUMBER