Healthcare Provider Details

I. General information

NPI: 1679404446
Provider Name (Legal Business Name): DANA JEANETTE GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1857 KNOLL DR
VENTURA CA
93003-7321
US

IV. Provider business mailing address

3060 JACKTAR AVE
OXNARD CA
93035-3236
US

V. Phone/Fax

Practice location:
  • Phone: 805-217-3307
  • Fax:
Mailing address:
  • Phone: 805-901-8010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7696
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: