Provider Demographics
NPI:1104796648
Name:GARCIA, ALBERTO ANDRES
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:ANDRES
Last Name: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 1:675 E BRADLEY AVE
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-3110
Mailing Address - Country:US
Mailing Address - Phone:619-448-6633
Mailing Address - Fax:619-448-5462
Practice Address - Street 1:675 E BRADLEY AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-3110
Practice Address - Country:US
Practice Address - Phone:619-448-6633
Practice Address - Fax:619-448-5462
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA725703164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse