Healthcare Provider Details

I. General information

NPI: 1598549800
Provider Name (Legal Business Name): BRIANA CAMILLE GARCIA FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 SANTA MONICA BLVD STE 280W
SANTA MONICA CA
90404-2172
US

IV. Provider business mailing address

4140 W 190TH ST
TORRANCE CA
90504-5513
US

V. Phone/Fax

Practice location:
  • Phone: 310-829-7678
  • Fax: 310-829-6889
Mailing address:
  • Phone: 310-829-7678
  • Fax: 310-829-6889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202470
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95039720
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: