Basic Information
| Provider Information | |||||||||
| NPI: | 1598883860 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GARCIA | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | L.C.S.W | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2843 1/2 SIERRA ST | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900312445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3238079596 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2025 E 7TH ST | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908044590 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5622840108 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2007 | ||||||||
| LastUpdateDate: | 12/28/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | ASW62079 | CA | N | Behavioral Health & Social Service Providers | Social Worker | 104100000X | ASW24008 | CA | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | LCSW80700 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.