Healthcare Provider Details

I. General information

NPI: 1396672507
Provider Name (Legal Business Name): HECTOR JUNIOR GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1461 FORD ST STE 202
REDLANDS CA
92373-3909
US

IV. Provider business mailing address

14966 ORCHID AVE
FONTANA CA
92335-4224
US

V. Phone/Fax

Practice location:
  • Phone: 909-792-5551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: