Provider Demographics
NPI:1376901462
Name:GARCIA, IRMA PATRICIA
Entity Type:Individual
Prefix:MISS
First Name:IRMA
Middle Name:PATRICIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 S MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2292
Mailing Address - Country:US
Mailing Address - Phone:831-775-0348
Mailing Address - Fax:831-775-0349
Practice Address - Street 1:1260 S MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2292
Practice Address - Country:US
Practice Address - Phone:831-775-0348
Practice Address - Fax:831-775-0349
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator