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General NPI Number Information
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NPI Number | 1982437158
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Entity Type | Individual
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Provider Name | MARIO MALIK GARCIA
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Gender | Male
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Dates
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Enumeration Date | 08/23/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 892 27TH ST
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City | SAN DIEGO
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State | CA
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Zip | 92154-1444
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Country | US
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Telephone | 619-643-2824
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Fax |
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Provider Business Mailing Address
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Address Line | 503 GEORGETOWN PL UNIT C
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City | CHULA VISTA
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State | CA
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Zip | 91911-5687
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Country | US
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Telephone | 909-856-2380
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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