Provider Demographics
NPI:1720831589
Name:GARCIA, SUMMER A (BA, MA, PPS)
Entity type:Individual
Prefix:MRS
First Name:SUMMER
Middle Name:A
Last Name:GARCIA
Suffix:
Gender:F
Credentials:BA, MA, PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11680 WHITTIER AVE
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-4154
Mailing Address - Country:US
Mailing Address - Phone:909-478-5650
Mailing Address - Fax:
Practice Address - Street 1:11680 WHITTIER AVE
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-4154
Practice Address - Country:US
Practice Address - Phone:909-478-5650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool