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NPI Code Detail

MEDICARE: MARIO GARCIA LLAMAS

MEDICARE:   MARIO  GARCIA LLAMAS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1508558586
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIO GARCIA LLAMAS
Provider Business Mailing Address
First Line : 16500 VENTURA BLVD STE 414
Second Line :
City : ENCINO
State : CA
Zip : 91436-5050
Country : US
Telephone Number : 818-788-1003
Fax Number : 818-788-1135
Provider Business Practice Location Address
First Line : 16500 VENTURA BLVD STE 414
Second Line :
City : ENCINO
State : CA
Zip : 91436-5050
Country : US
Telephone Number : 818-788-1003
Fax Number : 818-788-1135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2023
Last Update Date : 03/11/2026

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Directions to “ MARIO GARCIA LLAMAS ” Practice Location

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