Healthcare Provider Details

I. General information

NPI: 1871402693
Provider Name (Legal Business Name): DARLENE EMILY GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 MACARTHUR PL
OXNARD CA
93033-1833
US

IV. Provider business mailing address

1815 MACARTHUR PL
OXNARD CA
93033-1833
US

V. Phone/Fax

Practice location:
  • Phone: 805-815-7807
  • Fax:
Mailing address:
  • Phone: 805-815-7807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number103565
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: