MEDICARE: MS. CELIA MARIA GARZA-HALSTEAD FNP

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	363LF0000X	Family Nurse Practitioner	NP22877	CA

General Provider Information

NPI Number	:	1962830687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CELIA MARIA GARZA-HALSTEAD FNP

Provider Business Mailing Address
First Line	:	3324 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-2118
Country	:	US
Telephone Number	:	323-660-7959
Fax Number	:	323-660-1408

Provider Business Practice Location Address
First Line	:	3324 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-2118
Country	:	US
Telephone Number	:	323-660-7959
Fax Number	:	323-660-1408

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

Provider Enumeration Date	:	10/15/2013
Last Update Date	:	11/23/2021

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