Healthcare Provider Details

I. General information

NPI: 1205741402
Provider Name (Legal Business Name): INES GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5370 SCHAEFER AVE STE B
CHINO CA
91710-9008
US

IV. Provider business mailing address

19940 WINDWOOD CIR
RIVERSIDE CA
92508-3269
US

V. Phone/Fax

Practice location:
  • Phone: 951-605-7728
  • Fax:
Mailing address:
  • Phone: 951-902-7827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95039566
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: