Garcia, Nicodemus J.
Garcia, Nicodemus J. is an sole proprietor health care provider with primary practice located at 4550 Kearny Villa Rd Ste. 116, San Diego CA 92123-1578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Garcia, Nicodemus J. can be contacted via phone (858) 279-1223.Contact Information
Primary practice address
4550 Kearny Villa Rd Ste. 116
San Diego CA 92123-1578
Phone: (858) 279-1223
Fax: (858) 467-7161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 104679 | Missouri |
Profile Details
| NPI number | 1669478400 |
|---|---|
| LBN Legal business name | Garcia, Nicodemus J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Dec 4th, 2012 - about 12 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 | 1669478400 | NPPES |
| Mississippi | MEDICAID | 206935827 |
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