Healthcare Provider Details

I. General information

NPI: 1285936989
Provider Name (Legal Business Name): ELIZABETH GARCIA BARRAGAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2010
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 W BEVERLY BLVD STE 208
MONTEBELLO CA
90640-3968
US

IV. Provider business mailing address

1818 W BEVERLY BLVD STE 207
MONTEBELLO CA
90640-3968
US

V. Phone/Fax

Practice location:
  • Phone: 310-625-3687
  • Fax:
Mailing address:
  • Phone: 310-625-3687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT79579
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTI65298
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: