Healthcare Provider Details

I. General information

NPI: 1922162445
Provider Name (Legal Business Name): SONYA GARCIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 OUTLET CENTER DR STE 110
OXNARD CA
93036-0608
US

IV. Provider business mailing address

3291 LOMA VISTA RD
VENTURA CA
93003-3099
US

V. Phone/Fax

Practice location:
  • Phone: 805-604-4588
  • Fax:
Mailing address:
  • Phone: 805-652-6556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA78022
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: