Provider Demographics
NPI:1386953941
Name:GARCIA, ERICA
Entity type:Individual
Prefix:
First Name:ERICA
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 1:524 W WOODCREST AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-3223
Mailing Address - Country:US
Mailing Address - Phone:714-797-0042
Mailing Address - Fax:
Practice Address - Street 1:1300 S. GRAND AVE
Practice Address - Street 2:BLDG C, SUITE 213
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-2361
Practice Address - Country:US
Practice Address - Phone:714-567-6501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist