Provider Demographics
NPI:1295602951
Name:GARCIA, SANDRA (PSYCH NURSE PRACTITI)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PSYCH NURSE PRACTITI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1263 CITRUS ST
Mailing Address - Street 2:
Mailing Address - City:LA HABRA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:90631-8361
Mailing Address - Country:US
Mailing Address - Phone:562-230-5382
Mailing Address - Fax:
Practice Address - Street 1:1263 CITRUS ST
Practice Address - Street 2:
Practice Address - City:LA HABRA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:90631-8361
Practice Address - Country:US
Practice Address - Phone:562-230-5382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-18
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA830208163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty