Provider Demographics
NPI:1225866270
Name:MARIA LURINKS GARCIA, LICENSED CLINICAL SOCIAL WORKER. PC.
Entity type:Organization
Organization Name:MARIA LURINKS GARCIA, LICENSED CLINICAL SOCIAL WORKER. PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CATHARINA
Authorized Official - Last Name:LURINKS GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:951-262-8107
Mailing Address - Street 1:34155 POURROY RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-9757
Mailing Address - Country:US
Mailing Address - Phone:760-808-3423
Mailing Address - Fax:
Practice Address - Street 1:41185 GOLDEN GATE CIR STE 202
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-6995
Practice Address - Country:US
Practice Address - Phone:951-262-8107
Practice Address - Fax:951-269-4328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1629378302OtherNPI