Healthcare Provider Details

I. General information

NPI: 1356229553
Provider Name (Legal Business Name): ISABEL GARNICA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 MANCHESTER CIR
CORONA CA
92879-6127
US

IV. Provider business mailing address

7001 IDYLLWILD LN
RIVERSIDE CA
92503-1029
US

V. Phone/Fax

Practice location:
  • Phone: 951-702-3170
  • Fax:
Mailing address:
  • Phone: 951-512-3638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number23826
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: