Basic Information
Provider Information
NPI: 1326416827
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA
FirstName: ARIANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 18805 E WEATHER RD
Address2:  
City: COVINA
State: CA
PostalCode: 917222011
CountryCode: US
TelephoneNumber: 6263278957
FaxNumber:  
Practice Location
Address1: 4063 WHITTIER BLVD
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900232536
CountryCode: US
TelephoneNumber: 3232682100
FaxNumber: 3232682460
Other Information
ProviderEnumerationDate: 09/14/2015
LastUpdateDate: 10/05/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X66597CAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


Home