Healthcare Provider Details

I. General information

NPI: 1922400555
Provider Name (Legal Business Name): MARGARITA ARMIDA GARCIA REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2014
Last Update Date: 09/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 CAMFIELD AVE
COMMERCE CA
90040-1502
US

IV. Provider business mailing address

2530 COLBY PL
COSTA MESA CA
92626-6142
US

V. Phone/Fax

Practice location:
  • Phone: 323-558-7678
  • Fax:
Mailing address:
  • Phone: 714-914-9638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number498955
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: