Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 348820 | CA |
NPI | 1033212956 |
---|---|
Provider Name | Ms. Yvonne Josephine Garcia |
First Address | Simi Valley, CA 93063-2516 |
Second Address | North Hills, CA 91343-2036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 08/07/2007 |