Healthcare Provider Details

I. General information

NPI: 1386461911
Provider Name (Legal Business Name): CYNTHIA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7224 S RECOVERY RD
FRENCH CAMP CA
95231-8901
US

IV. Provider business mailing address

7224 S RECOVERY RD
FRENCH CAMP CA
95231-8901
US

V. Phone/Fax

Practice location:
  • Phone: 209-888-6595
  • Fax: 209-888-6596
Mailing address:
  • Phone: 209-888-6595
  • Fax: 209-888-6596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: