Healthcare Provider Details

I. General information

NPI: 1326773508
Provider Name (Legal Business Name): KARINA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2022
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8030 IMPERIAL HWY
DOWNEY CA
90242-3714
US

IV. Provider business mailing address

13227 COLDBROOK AVE
DOWNEY CA
90242-4910
US

V. Phone/Fax

Practice location:
  • Phone: 562-861-6186
  • Fax: 562-861-6816
Mailing address:
  • Phone: 562-346-8685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number179931
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: