Healthcare Provider Details

I. General information

NPI: 1659286698
Provider Name (Legal Business Name): ANJEL MONIQUE GARCIA-RIVAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 PENNSFIELD PL STE 208
THOUSAND OAKS CA
91360-5530
US

IV. Provider business mailing address

516 PENNSFIELD PL STE 208
THOUSAND OAKS CA
91360-5530
US

V. Phone/Fax

Practice location:
  • Phone: 805-694-0251
  • Fax:
Mailing address:
  • Phone: 805-694-0251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT159296
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: