Basic Information
| Provider Information | |||||||||
| NPI: | 1033397583 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARCIA | ||||||||
| FirstName: | ULISES | ||||||||
| MiddleName: | JAVIER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | LA COUNTY-USC MEDICAL CENTER, 1200 NORTH STATE STREET | ||||||||
| Address2: | ROOM 1011 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3232266937 | ||||||||
| FaxNumber: | 3232266454 | ||||||||
| Practice Location | |||||||||
| Address1: | LA COUNTY-USC MEDICAL CENTER, 1200 NORTH STATE STREET | ||||||||
| Address2: | ROOM 1011 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3232266937 | ||||||||
| FaxNumber: | 3232266454 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2008 | ||||||||
| LastUpdateDate: | 11/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | A102617 | CA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.