MEDICARE: RUDOLPH 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	101YA0400X	Addiction (Substance Use Disorder) Counselor	R1554040324	CA

General Provider Information

NPI Number	:	1093530453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUDOLPH GARCIA

Provider Business Mailing Address
First Line	:	831 E ARROW HWY
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91767-2535
Country	:	US
Telephone Number	:	909-398-4383
Fax Number	:

Provider Business Practice Location Address
First Line	:	2441 S NADINE ST
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91792-3562
Country	:	US
Telephone Number	:	562-714-2069
Fax Number	:

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

Provider Enumeration Date	:	11/20/2024
Last Update Date	:	11/20/2024

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1891624672 — CRISTIAN MONTALVO
Practice Location Address:

678 S 1ST AVE APT 7
COVINA, CA
91723-3562

Practice Phone: 818-966-1495
Practice Fax:

1710526207 — HEALTH FIRST MEDICAL GROUP, LLC
Practice Location Address:

699 WEST COCOA BEACH CAUSEWAY , SUITE 405
COCOA BEACH, FL
32931-3562

Practice Phone: 321-868-3727
Practice Fax: 321-868-7273

1740889435 — MARIE JEUNIDE FAVERDIEU CNA
Practice Location Address:

3562 8TH ST E
WEST FARGO, ND
58078-5422

Practice Phone: 701-541-7351
Practice Fax: 701-532-2104

1669933768 — STEPHANIE VERGARA
Practice Location Address:

2800 E HOLLINGWORTH ST
WEST COVINA, CA
91792-3029

Practice Phone: 626-965-1696
Practice Fax:

1295733855 — DR. HENRY RICK TSENG DPM
Practice Location Address:

2707 E VALLEY BLVD STE 303
WEST COVINA, CA
91792-3198

Practice Phone: 626-330-4866
Practice Fax: 626-330-7989

Directions to “ RUDOLPH GARCIA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.