MEDICARE: SONIA ERNESTINA 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	171M00000X	Case Manager/Care Coordinator
2	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1548305311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA ERNESTINA GARCIA

Provider Business Mailing Address
First Line	:	515 COLUMBIA AVE # 200
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-1209
Country	:	US
Telephone Number	:	213-249-9388
Fax Number	:	213-389-7993

Provider Business Practice Location Address
First Line	:	515 COLUMBIA AVE # 200
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-1209
Country	:	US
Telephone Number	:	213-249-9388
Fax Number	:	213-389-7993

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	05/19/2025

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Directions to “ SONIA ERNESTINA GARCIA ” Practice Location

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