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NPI Code Detail

MEDICARE: MARY ELLEN GARCIA

MEDICARE: MARY ELLEN GARCIA
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1952078271
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELLEN GARCIA
Provider Business Mailing Address
First Line : 25910 ACERO STE 160
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-2777
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 34324 YUCAIPA BLVD STE B-D
Second Line :
City : YUCAIPA
State : CA
Zip : 92399-2496
Country : US
Telephone Number : 877-522-7187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2021
Last Update Date : 02/16/2026

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Directions to “ MARY ELLEN GARCIA ” Practice Location

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