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NPI Code Detail

MEDICARE: GUADALUPE GARCIA-VARGAS

MEDICARE:   GUADALUPE  GARCIA-VARGAS
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
1104100000XSocial WorkerASW134774CA
2171M00000XCase Manager/Care Coordinator
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1760956981
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUADALUPE GARCIA-VARGAS
Provider Business Mailing Address
First Line : 177 W HENDERSON AVE STE 1
Second Line :
City : PORTERVILLE
State : CA
Zip : 93257-1777
Country : US
Telephone Number : 559-784-0312
Fax Number : 559-784-5827
Provider Business Practice Location Address
First Line : 177 W HENDERSON AVE STE 1
Second Line :
City : PORTERVILLE
State : CA
Zip : 93257-1777
Country : US
Telephone Number : 559-784-0312
Fax Number : 559-784-5827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2019
Last Update Date : 11/06/2025

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Directions to “ GUADALUPE GARCIA-VARGAS ” Practice Location

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