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NPI Code Detail

MEDICARE: ILSE GARCIA

MEDICARE: ILSE GARCIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorCA
2390200000XStudent in an Organized Health Care Education/Training ProgramCA
31041C0700XClinical Social Worker116773CA

General Provider Information

NPI Number : 1093295289
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILSE GARCIA
Provider Business Mailing Address
First Line : 2116 ARLINGTON AVE STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-1300
Country : US
Telephone Number : 323-334-9000
Fax Number : 323-334-4437
Provider Business Practice Location Address
First Line : 345 S SAN PEDRO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-1633
Country : US
Telephone Number : 213-537-0822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2018
Last Update Date : 07/27/2023

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Directions to “ ILSE GARCIA ” Practice Location

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