Healthcare Provider Details

I. General information

NPI: 1326835646
Provider Name (Legal Business Name): ROSA MARIA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20920 CHICO ST
CARSON CA
90746-3603
US

IV. Provider business mailing address

21100 PIONEER BLVD APT 5
LAKEWOOD CA
90715-2146
US

V. Phone/Fax

Practice location:
  • Phone: 562-743-1116
  • Fax:
Mailing address:
  • Phone: 562-743-1116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW141461
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberASW141461
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: