Healthcare Provider Details

I. General information

NPI: 1386243624
Provider Name (Legal Business Name): SANDRA JAMZIN GARCIA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 N SAN DIMAS AVE STE 219
SAN DIMAS CA
91773-2664
US

IV. Provider business mailing address

15061 MANZANARES RD
LA MIRADA CA
90638-3958
US

V. Phone/Fax

Practice location:
  • Phone: 909-519-8912
  • Fax:
Mailing address:
  • Phone: 562-677-6186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT21464
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: