Healthcare Provider Details

I. General information

NPI: 1659296838
Provider Name (Legal Business Name): GABRIELA ADRIANA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

765 N MAIN ST STE 127
CORONA CA
92878-1440
US

IV. Provider business mailing address

12497 TEJAS CT
RANCHO CUCAMONGA CA
91739-9071
US

V. Phone/Fax

Practice location:
  • Phone: 951-444-5820
  • Fax:
Mailing address:
  • Phone: 909-373-7499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number126896
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: