MEDICARE: SERGIO JAVIER GARCIA JR.

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		CA

General Provider Information

NPI Number	:	1538755251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERGIO JAVIER GARCIA JR.

Provider Business Mailing Address
First Line	:	4940 VAN NUYS BLVD.
Second Line	:
City	:	SHERMAN OAKS SUITE 201
State	:	CA
Zip	:	91403-4507
Country	:	US
Telephone Number	:	818-985-0560
Fax Number	:	818-985-7193

Provider Business Practice Location Address
First Line	:	4940 VAN NUYS BLVD.
Second Line	:
City	:	SHERMAN OAKS SUITE 201
State	:	CA
Zip	:	91403-4507
Country	:	US
Telephone Number	:	818-985-0560
Fax Number	:	818-985-7193

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

Provider Enumeration Date	:	12/16/2020
Last Update Date	:	07/29/2021

Similar Medicare Providers

1508376807 — RENEW CONSULTANT GROUP LLC
Practice Location Address:

600 TWELVE OAKS CENTER DR STE 642D
WAYZATA, MN
55391-4507

Practice Phone: 952-999-3624
Practice Fax:

1154575728 — A PLUS HEALTH CARE SERVICES, INC.
Practice Location Address:

4507 NORTH STERLING AVE , SUITE 201
PEORIA, IL
61615-3861

Practice Phone: 309-762-8439
Practice Fax: 309-762-7720

1073055570 — MEDICAL SUPPORT LOS ANGELES A MEDICAL CORPORATION
Practice Location Address:

301 N PRAIRIE AVE , SUITE #201
INGLEWOOD, CA
90301-4507

Practice Phone: 310-674-4419
Practice Fax: 310-674-6689

1083654990 — DR. MARK WILLIAM GESELL MD
Practice Location Address:

776 SHREWSBURY AVE STE 201
TINTON FALLS, NJ
07724-4507

Practice Phone: 732-530-4949
Practice Fax: 732-212-1171

1275550311 — WAL-MART STORES EAST LP
Practice Location Address:

201 S EDWARDS BLVD
LAKE GENEVA, WI
53147-4507

Practice Phone: 262-248-3391
Practice Fax:

1114000858 — WAL-MART STORES EAST, LP
Practice Location Address:

201 S EDWARDS BLVD
LAKE GENEVA, WI
53147-4507

Practice Phone: 262-248-2266
Practice Fax:

Directions to “ SERGIO JAVIER GARCIA JR. ” 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.