Provider Demographics
NPI:1588992762
Name:GARCIA, ERIC SALVADOR (DC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:SALVADOR
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 1:551 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3302
Mailing Address - Country:US
Mailing Address - Phone:831-422-3558
Mailing Address - Fax:831-422-3020
Practice Address - Street 1:551 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3302
Practice Address - Country:US
Practice Address - Phone:831-422-3558
Practice Address - Fax:831-422-3020
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-25
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30908111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1015197928Medicaid
CA1015197928Medicare PIN
CA1015197928Medicare UPIN
CA1015197928Medicare NSC
CA1015197928Medicaid