Provider Demographics
NPI:1710233531
Name:GARIA, BLANCA ANGELES (RN NP)
Entity Type:Individual
Prefix:MRS
First Name:BLANCA
Middle Name:ANGELES
Last Name:GARIA
Suffix:
Gender:F
Credentials:RN NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:430 S PARISH PL
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2742
Mailing Address - Country:US
Mailing Address - Phone:818-558-7018
Mailing Address - Fax:
Practice Address - Street 1:1177 N PARK AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91768-3028
Practice Address - Country:US
Practice Address - Phone:909-623-9900
Practice Address - Fax:909-623-1993
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA456007363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology