Provider Demographics
NPI:1063096857
Name:GARCIA GARCIA, CESAR ALEJANDRO
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:ALEJANDRO
Last Name:GARCIA GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 27391
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98165-1891
Mailing Address - Country:US
Mailing Address - Phone:206-676-2131
Mailing Address - Fax:
Practice Address - Street 1:14504 31ST AVE NE
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-7518
Practice Address - Country:US
Practice Address - Phone:206-676-2131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-08
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC13064171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter