Provider Demographics
NPI:1396568150
Name:GARCIA, EDUARDO DANIEL (DC)
Entity type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:DANIEL
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 E WALNUT ST STE 155
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1588
Mailing Address - Country:US
Mailing Address - Phone:626-408-0010
Mailing Address - Fax:
Practice Address - Street 1:221 E WALNUT ST STE 155
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1588
Practice Address - Country:US
Practice Address - Phone:626-408-0010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC37101111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty