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NPI Code Detail

MEDICARE: ANNETTE M GARCIA

MEDICARE:   ANNETTE M 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
1101YM0800XMental Health CounselorCA

General Provider Information

NPI Number : 1326437724
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE M GARCIA
Provider Business Mailing Address
First Line : PO BOX 62083
Second Line :
City : IRVINE
State : CA
Zip : 92602-6069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23141 MOULTON PKWY STE 213
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-1204
Country : US
Telephone Number : 949-258-3741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2015
Last Update Date : 04/22/2020

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Directions to “ ANNETTE M GARCIA ” Practice Location

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