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Jason Edward Garcia

Peer Specialist in Huntington Park, CA. Individual provider (NPI-1).

NPI number1326313669
StatusActive
Last updated in NPPESSep 15, 2023

Details

NPI
1326313669
Entity type
Individual (NPI-1)
Name
Mr. Jason Edward Garcia
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 20, 2012
Certification date
Sep 15, 2023
Last updated
Sep 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer SpecialistLQCMPFRZXEBGYUANCAYes
225400000X Rehabilitation Practitioner––

Practice location

2677 Zoe Ave Ste 112
Huntington Park, CA 90255-6995

Phone 323-346-0960

Mailing address

2677 Zoe Ave Ste 304
Huntington Park, CA 90255-3699

Phone 323-346-0960

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