Healthcare Provider Details

I. General information

NPI: 1144638826
Provider Name (Legal Business Name): STEPHANIE MARIE GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2014
Last Update Date: 02/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E MAURETANIA ST
WILMINGTON CA
90744-2722
US

IV. Provider business mailing address

1100 E MAURETANIA ST
WILMINGTON CA
90744-2722
US

V. Phone/Fax

Practice location:
  • Phone: 310-818-1298
  • Fax: 310-872-5092
Mailing address:
  • Phone: 310-818-1290
  • Fax: 949-258-5619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246YC3301X
TaxonomyHospital Based Coding Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: