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NPI Code Detail

MEDICARE: DR. MARY ANN GARCIA PSY.D.

MEDICARE: DR. MARY ANN GARCIA PSY.D.
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
1103T00000XPsychologist22645CA

General Provider Information

NPI Number : 1881920320
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY ANN GARCIA PSY.D.
Provider Business Mailing Address
First Line : PO BOX 3449
Second Line :
City : SEAL BEACH
State : CA
Zip : 90740-2449
Country : US
Telephone Number : 562-676-6263
Fax Number :
Provider Business Practice Location Address
First Line : 2725 E BROADWAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-5431
Country : US
Telephone Number : 562-676-6263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2009
Last Update Date : 10/13/2011

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