Healthcare Provider Details

I. General information

NPI: 1497684690
Provider Name (Legal Business Name): JAMES VICTOR GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2548 DELTA AVE
ROSEMEAD CA
91770-3219
US

IV. Provider business mailing address

2548 DELTA AVE
ROSEMEAD CA
91770-3219
US

V. Phone/Fax

Practice location:
  • Phone: 818-297-4245
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number01354679
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: