Healthcare Provider Details

I. General information

NPI: 1427936608
Provider Name (Legal Business Name): ALESSANDRO GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

510 S 2ND AVE STE 5
COVINA CA
91723-3017
US

IV. Provider business mailing address

510 S 2ND AVE STE 5
COVINA CA
91723-3017
US

V. Phone/Fax

Practice location:
  • Phone: 626-974-8123
  • Fax: 626-974-8198
Mailing address:
  • Phone: 626-974-8123
  • Fax: 626-974-8198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: