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General NPI Number Information
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NPI Number | 1487298261
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Entity Type | Organization
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Legal Business Name | NATALIA GARCIA LICENSED CLINICAL SOCIAL WORKER, INC
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 128 N CITRUS AVE STE D
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City | COVINA
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State | CA
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Zip | 91723-2039
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Country | US
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Telephone | 661-809-4385
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Fax |
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Provider Business Mailing Address
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Address Line | 1004 W WEST COVINA PKWY # 109
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City | WEST COVINA
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State | CA
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Zip | 91790-2810
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | NATALIA VENTURA GARCIA
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Credential |
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Telephone | 661-809-4385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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