Healthcare Provider Details

I. General information

NPI: 1902355894
Provider Name (Legal Business Name): MONICA GARCIA MEJIA MSN,RN,ANP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MONICA GARCIA MEJIA APN-BC

II. Dates (important events)

Enumeration Date: 10/03/2016
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 S RIVERSIDE AVE # B
RIALTO CA
92376-7707
US

IV. Provider business mailing address

14207 CUTLER AVE
BALDWIN PARK CA
91706-5219
US

V. Phone/Fax

Practice location:
  • Phone: 909-873-5902
  • Fax:
Mailing address:
  • Phone: 626-484-0366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP95004865
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: