Healthcare Provider Details

I. General information

NPI: 1841855046
Provider Name (Legal Business Name): MICHAEL ANTHONY GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2019
Last Update Date: 12/13/2021
Certification Date: 12/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8135 PAINTER AVE
WHITTIER CA
90602-3158
US

IV. Provider business mailing address

8135 PAINTER AVE STE 201
WHITTIER CA
90602-3166
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-6600
  • Fax:
Mailing address:
  • Phone: 562-698-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: