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NPI Code Detail

MEDICARE: MRS. BLANCA ANGELES GARIA RN NP

MEDICARE: MRS. BLANCA ANGELES GARIA RN NP
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
1363LX0001XObstetrics & Gynecology Nurse Practitioner456007CA

General Provider Information

NPI Number : 1710233531
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BLANCA ANGELES GARIA RN NP
Provider Business Mailing Address
First Line : 430 S PARISH PL
Second Line :
City : BURBANK
State : CA
Zip : 91506-2742
Country : US
Telephone Number : 818-558-7018
Fax Number :
Provider Business Practice Location Address
First Line : 1177 N PARK AVE
Second Line :
City : POMONA
State : CA
Zip : 91768-3028
Country : US
Telephone Number : 909-623-9900
Fax Number : 909-623-1993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2012
Last Update Date : 07/30/2012

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