Healthcare Provider Details

I. General information

NPI: 1740184506
Provider Name (Legal Business Name): MARIELA PATRICIA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIELA PATRICIA MORENO

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR
STANFORD CA
94305-2299
US

IV. Provider business mailing address

13657 HELIX BRIDGE WAY
CROWLEY TX
76036-1367
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number45024
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: