MEDICARE: MARIA ANDREA 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1205582350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ANDREA GARCIA

Provider Business Mailing Address
First Line	:	44199 MONROE ST STE B
Second Line	:
City	:	INDIO
State	:	CA
Zip	:	92201-3094
Country	:	US
Telephone Number	:	760-863-8047
Fax Number	:

Provider Business Practice Location Address
First Line	:	44199 MONROE ST STE B
Second Line	:
City	:	INDIO
State	:	CA
Zip	:	92201-3094
Country	:	US
Telephone Number	:	760-863-8047
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2022
Last Update Date	:	02/03/2026

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