Healthcare Provider Details

I. General information

NPI: 1316876956
Provider Name (Legal Business Name): AIMEE GARCIA FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 5TH AVE STE 300
SAN DIEGO CA
92103-3138
US

IV. Provider business mailing address

2288 WANDER ST
CHULA VISTA CA
91915-2410
US

V. Phone/Fax

Practice location:
  • Phone: 619-750-8562
  • Fax:
Mailing address:
  • Phone: 619-750-8562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95039188
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: