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NPI Code Detail

MEDICARE: NICOLE ALEXIS GARCIA

MEDICARE:   NICOLE ALEXIS 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
1106H00000XMarriage & Family Therapist89903CA

General Provider Information

NPI Number : 1487917118
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE ALEXIS GARCIA
Provider Business Mailing Address
First Line : 505 CITY PKWY W
Second Line :
City : ORANGE
State : CA
Zip : 92868-2924
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 505 CITY PKWY W
Second Line :
City : ORANGE
State : CA
Zip : 92868-2924
Country : US
Telephone Number : 714-723-5184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2012
Last Update Date : 07/22/2022

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Directions to “ NICOLE ALEXIS GARCIA ” Practice Location

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