Healthcare Provider Details

I. General information

NPI: 1770497026
Provider Name (Legal Business Name): YANAVITH GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YANAVITH VILLANUEVA

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29282 MENIFEE RD
MENIFEE CA
92584-7766
US

IV. Provider business mailing address

29282 MENIFEE RD
MENIFEE CA
92584-7766
US

V. Phone/Fax

Practice location:
  • Phone: 951-679-5284
  • Fax:
Mailing address:
  • Phone: 951-679-5285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number250138888
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: