Provider Demographics
NPI:1811780901
Name:GARCIA, RAUL ARMANDO
Entity type:Individual
Prefix:
First Name:RAUL
Middle Name:ARMANDO
Last Name:GARCIA
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28327 CROSBY ST
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-7401
Mailing Address - Country:US
Mailing Address - Phone:619-882-3813
Mailing Address - Fax:
Practice Address - Street 1:28327 CROSBY ST
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-7401
Practice Address - Country:US
Practice Address - Phone:619-882-3813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)