Healthcare Provider Details

I. General information

NPI: 1619327509
Provider Name (Legal Business Name): MARIA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2016
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23501 CINEMA DR STE 210
VALENCIA CA
91355-5430
US

IV. Provider business mailing address

23501 CINEMA DR STE 210
VALENCIA CA
91355-5430
US

V. Phone/Fax

Practice location:
  • Phone: 661-288-4800
  • Fax: 661-254-3094
Mailing address:
  • Phone: 661-288-4800
  • Fax: 661-254-3094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: