MEDICARE: EDWARD ISAIAH 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	106H00000X	Marriage & Family Therapist	AMFT158247	CA

General Provider Information

NPI Number	:	1669007217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD ISAIAH GARCIA

Provider Business Mailing Address
First Line	:	14119 BUCHER AVE
Second Line	:
City	:	SYLMAR
State	:	CA
Zip	:	91342-1442
Country	:	US
Telephone Number	:	310-221-6336
Fax Number	:

Provider Business Practice Location Address
First Line	:	14119 BUCHER AVE
Second Line	:
City	:	SYLMAR
State	:	CA
Zip	:	91342-1442
Country	:	US
Telephone Number	:	310-221-6336
Fax Number	:

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

Provider Enumeration Date	:	03/04/2020
Last Update Date	:	04/09/2026

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