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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841498847 NPPES
California Other A99758 CALIFORNIA STATE MEDICAL

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