Healthcare Provider Details

I. General information

NPI: 1710636030
Provider Name (Legal Business Name): AUBRIANA ELIZABETH GARCIA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 03/22/2022
Certification Date: 03/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 1ST AVE
SAN DIEGO CA
92101-2033
US

IV. Provider business mailing address

3626 ANTIEM ST
SAN DIEGO CA
92111-4304
US

V. Phone/Fax

Practice location:
  • Phone: 888-743-7526
  • Fax:
Mailing address:
  • Phone: 858-346-3451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number95133904
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: