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NPI Code Detail

MEDICARE: JANICE GARCIA BS

MEDICARE: JANICE GARCIA BS
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 Counselor36303CA
2104100000XSocial Worker36303CA
3390200000XStudent in an Organized Health Care Education/Training Program
4104100000XSocial Worker93731CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11457840373OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1669744272
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE GARCIA BS
Provider Business Mailing Address
First Line : PO BOX 1039
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-1000
Country : US
Telephone Number : 626-280-6510
Fax Number : 626-288-1026
Provider Business Practice Location Address
First Line : 3244 E GREEN ST
Second Line :
City : PASADENA
State : CA
Zip : 91107-3836
Country : US
Telephone Number : 626-844-3033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2012
Last Update Date : 01/29/2021

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