Healthcare Provider Details

I. General information

NPI: 1861134439
Provider Name (Legal Business Name): WENDY GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W 5TH AVE STE 101
ESCONDIDO CA
92025-4843
US

IV. Provider business mailing address

8664 NEW SALEM ST UNIT 88
SAN DIEGO CA
92126-7469
US

V. Phone/Fax

Practice location:
  • Phone: 760-280-5020
  • Fax: 760-392-7880
Mailing address:
  • Phone: 760-280-5020
  • Fax: 760-392-7880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number138801
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: