Provider Demographics
NPI:1316016850
Name:GARCIA-STEIN, MITZI ANN
Entity type:Individual
Prefix:MRS
First Name:MITZI
Middle Name:ANN
Last Name:GARCIA-STEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4033 LARWIN AVE
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-4124
Mailing Address - Country:US
Mailing Address - Phone:562-424-3929
Mailing Address - Fax:714-680-9007
Practice Address - Street 1:801 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3839
Practice Address - Country:US
Practice Address - Phone:714-680-8265
Practice Address - Fax:714-680-8207
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker