Provider Demographics
NPI:1063201135
Name:GARCIA, ALEXANDRA O
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:O
Last Name:GARCIA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 J ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-3055
Mailing Address - Country:US
Mailing Address - Phone:707-441-2400
Mailing Address - Fax:707-441-3397
Practice Address - Street 1:2100 J ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-3055
Practice Address - Country:US
Practice Address - Phone:707-441-2400
Practice Address - Fax:707-441-3397
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4FACE85CP5171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach