Healthcare Provider Details

I. General information

NPI: 1306389234
Provider Name (Legal Business Name): MONISHA GARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2016
Last Update Date: 11/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 W CARSON ST E
TORRANCE CA
90502-2051
US

IV. Provider business mailing address

1001 W CARSON ST E
TORRANCE CA
90502-2051
US

V. Phone/Fax

Practice location:
  • Phone: 562-682-0818
  • Fax:
Mailing address:
  • Phone: 562-682-0818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberINS-US005
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: