Provider Demographics
NPI:1154101061
Name:MARICAR CUTILLAR GARCIA MD INC
Entity type:Organization
Organization Name:MARICAR CUTILLAR GARCIA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARICAR
Authorized Official - Middle Name:CUTILLAR
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-607-2759
Mailing Address - Street 1:25706 SHADY OAK LN
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91381-0769
Mailing Address - Country:US
Mailing Address - Phone:661-607-2759
Mailing Address - Fax:661-678-0281
Practice Address - Street 1:23838 VALENCIA BLVD STE 302
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5336
Practice Address - Country:US
Practice Address - Phone:661-607-2759
Practice Address - Fax:661-678-0281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty