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NPI Code Detail

MEDICARE: MICHELLE GARCIA

MEDICARE: MICHELLE 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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1235697947
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE GARCIA
Provider Business Mailing Address
First Line : 16580 HARBOR BLVD STE M
Second Line :
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-1385
Country : US
Telephone Number : 714-975-5201
Fax Number :
Provider Business Practice Location Address
First Line : 16580 HARBOR BLVD STE M
Second Line :
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-1385
Country : US
Telephone Number : 714-975-5201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2019
Last Update Date : 01/21/2026

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Directions to “ MICHELLE GARCIA ” Practice Location

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