Provider Demographics
NPI:1396418166
Name:GARCIA, IRENE (AA, BA, PARALEGAL CE)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:AA, BA, PARALEGAL CE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 M ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-3729
Mailing Address - Country:US
Mailing Address - Phone:209-385-7692
Mailing Address - Fax:209-725-8873
Practice Address - Street 1:2222 M ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-3729
Practice Address - Country:US
Practice Address - Phone:209-385-7692
Practice Address - Fax:209-725-8873
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator