Provider Demographics
NPI:1386296432
Name:GARCIA, DAISY
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:
Last Name:GARCIA
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 1:9140 VAN NUYS BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-6764
Mailing Address - Country:US
Mailing Address - Phone:818-895-2206
Mailing Address - Fax:818-895-0824
Practice Address - Street 1:9140 VAN NUYS BLVD STE 211
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-6764
Practice Address - Country:US
Practice Address - Phone:818-895-2206
Practice Address - Fax:818-895-0824
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor