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NPI Code Detail

MEDICARE: KATIA G GARCIA PMHNP-BC, MSN, BSN

MEDICARE: KATIA G GARCIA PMHNP-BC, MSN, BSN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerNP95030258CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NP95030258OTHERCACA LICENSE

General Provider Information

NPI Number : 1124169917
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIA G GARCIA PMHNP-BC, MSN, BSN
Provider Business Mailing Address
First Line : 777 S ALAMEDA ST FL 2
Second Line :
City : LOS ANGELES
State : CA
Zip : 90021-1656
Country : US
Telephone Number : 323-643-7980
Fax Number : 323-297-1513
Provider Business Practice Location Address
First Line : 200 S SAN PEDRO ST STE 302
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-5308
Country : US
Telephone Number : 323-643-7980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 07/16/2025

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