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Contact Information

JOSE C GARCIA
2636 E DOMINGUEZ ST
LONG BEACH, CA90810
 Phone: 562-277-3407
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for JOSE C GARCIA · (Male)

NPI # 1497204028
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2016
Last updated 09/23/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 86400
  • CA Medicaid 86400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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