Basic Information
| Provider Information | |||||||||
| NPI: | 1124127659 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GARCIA-HERRERA | ||||||||
| FirstName: | RONALD | ||||||||
| MiddleName: | PAUL | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PA-C | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HERRERA | ||||||||
| OtherFirstName: | RONALD | ||||||||
| OtherMiddleName: | PAUL | ||||||||
| OtherNamePrefix: | MRS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | PA-C | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 4 ROSSI CIR | ||||||||
| Address2: | SUITE 141 | ||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939072362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317574444 | ||||||||
| FaxNumber: | 8317574419 | ||||||||
| Practice Location | |||||||||
| Address1: | 285 MERCEY SPRINGS RD | ||||||||
| Address2: | |||||||||
| City: | LOS BANOS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936353878 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2098290444 | ||||||||
| FaxNumber: | 2098290445 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2006 | ||||||||
| LastUpdateDate: | 12/24/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 12100 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.