Healthcare Provider Details

I. General information

NPI: 1467970871
Provider Name (Legal Business Name): ROCIO DALILA GARCIA CATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 E. ARROW HWY
POMONA CA
91767
US

IV. Provider business mailing address

831 E ARROW HWY
POMONA CA
91767-2535
US

V. Phone/Fax

Practice location:
  • Phone: 909-398-4383
  • Fax: 909-398-0086
Mailing address:
  • Phone: 909-398-4383
  • Fax: 909-398-0086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number169014
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: