Garcia, Ivan Alonzo
Garcia, Ivan Alonzo is an sole proprietor health care provider with primary practice located at 1011 Baldwin Park Blvd , Baldwin Park CA 91706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Garcia, Ivan Alonzo can be contacted via phone (626) 851-5256.Contact Information
Primary practice address
1011 Baldwin Park Blvd
Baldwin Park CA 91706
Phone: (626) 851-5256
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A99758 | California |
Profile Details
NPI number | 1841498847 |
---|---|
LBN Legal business name | Garcia, Ivan Alonzo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 11th, 2007 |
Last updated | Dec 1st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841498847 | NPPES |
California | Other | A99758 | CALIFORNIA STATE MEDICAL |
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