Basic Information
Provider Information
NPI: 1922162445
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA
FirstName: SONYA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3291 LOMA VISTA RD
Address2:  
City: VENTURA
State: CA
PostalCode: 930033099
CountryCode: US
TelephoneNumber: 8056526556
FaxNumber:  
Practice Location
Address1: 2000 OUTLET CENTER DR STE 110
Address2:  
City: OXNARD
State: CA
PostalCode: 930360608
CountryCode: US
TelephoneNumber: 8056044588
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/20/2006
LastUpdateDate: 04/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XA78022CAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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