Healthcare Provider Details

I. General information

NPI: 1124152228
Provider Name (Legal Business Name): ROCIO GARCIA M.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 03/25/2020
Certification Date: 03/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 W COMPTON BLVD
COMPTON CA
90220-3167
US

IV. Provider business mailing address

3708 SPENCER ST APT 213
TORRANCE CA
90503-3226
US

V. Phone/Fax

Practice location:
  • Phone: 310-639-8601
  • Fax:
Mailing address:
  • Phone: 424-603-9293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW61556
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: