Healthcare Provider Details

I. General information

NPI: 1235503913
Provider Name (Legal Business Name): CARLOS GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2015
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11517 15TH AVE
LEMOORE CA
93245-9508
US

IV. Provider business mailing address

943 W REDWOOD ST
HANFORD CA
93230-6768
US

V. Phone/Fax

Practice location:
  • Phone: 559-380-0800
  • Fax:
Mailing address:
  • Phone: 559-858-9366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: