NPI Code Details Logo

NPI 1205794567

NPI 1205794567 : TIFFANY ANN GARCIA : EL CENTRO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1205794567
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    TIFFANY ANN GARCIA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/14/2026
-----------------------------------------------------
    Last Update Date     |    01/14/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    202 N 8TH ST FL 1 
-----------------------------------------------------
    City                 |    EL CENTRO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92243-2302
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    442-265-1526
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 641 
-----------------------------------------------------
    City                 |    BRAWLEY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92227-0641
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    164X00000X
-----------------------------------------------------
    Taxonomy Name        |    Licensed Vocational Nurse
-----------------------------------------------------
    License Number       |    748815
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.