Healthcare Provider Details
I. General information
NPI: 1720760853
Provider Name (Legal Business Name): VALERIA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/07/2023
Last Update Date: 07/08/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1050 E PALMDALE BLVD STE PALMDALE
PALMDALE CA
93550-4750
US
IV. Provider business mailing address
30638 SAN MARTINEZ RD
VAL VERDE CA
91384-2471
US
V. Phone/Fax
- Phone: 661-208-4699
- Fax:
- Phone: 661-544-6493
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | ASW130852 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: