=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326773508
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARINA GARCIA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2022
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8030 IMPERIAL HWY
-----------------------------------------------------
City | DOWNEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90242-3714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-861-6186
-----------------------------------------------------
Fax | 562-861-6816
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13227 COLDBROOK AVE
-----------------------------------------------------
City | DOWNEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90242-4910
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-346-8685
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183700000X
-----------------------------------------------------
Taxonomy Name | Pharmacy Technician
-----------------------------------------------------
License Number | 179931
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------