Provider Demographics
NPI:1912745696
Name:GARCIA, AMBER BARBARA (NP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:BARBARA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 N SANTIAGO BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-1859
Mailing Address - Country:US
Mailing Address - Phone:714-602-7615
Mailing Address - Fax:714-509-1377
Practice Address - Street 1:2680 N SANTIAGO BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-1859
Practice Address - Country:US
Practice Address - Phone:714-602-7615
Practice Address - Fax:714-509-1377
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA803982363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty