Provider Demographics
NPI:1659306694
Name:GARCIA, ARLAN KENNETH (DC)
Entity type:Individual
Prefix:DR
First Name:ARLAN
Middle Name:KENNETH
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 1:14021 AMARGOSA RD
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-6404
Mailing Address - Country:US
Mailing Address - Phone:760-962-1415
Mailing Address - Fax:760-496-3370
Practice Address - Street 1:14021 AMARGOSA RD
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-6404
Practice Address - Country:US
Practice Address - Phone:760-962-1415
Practice Address - Fax:760-496-3370
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28889111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor