MEDICARE: WENDY GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1013179886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY GARCIA

Provider Business Mailing Address
First Line	:	8313 WASHINGTON AVE
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90602-3022
Country	:	US
Telephone Number	:	562-698-3751
Fax Number	:

Provider Business Practice Location Address
First Line	:	6055 E WASHINGTON BLVD
Second Line	:
City	:	COMMERCE
State	:	CA
Zip	:	90040-2449
Country	:	US
Telephone Number	:	323-346-0960
Fax Number	:	323-346-0966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	07/01/2008

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