Provider Demographics
NPI:1851429310
Name:GARCIA, ARNIE (LPT)
Entity Type:Individual
Prefix:
First Name:ARNIE
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1000
Mailing Address - Country:US
Mailing Address - Phone:661-868-1800
Mailing Address - Fax:661-868-1801
Practice Address - Street 1:2525 N CHESTER AVE STE A
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-1770
Practice Address - Country:US
Practice Address - Phone:661-868-1800
Practice Address - Fax:661-868-1801
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 21739167G00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered167G00000XNursing Service ProvidersLicensed Psychiatric Technician
Not Answered171M00000XOther Service ProvidersCase Manager/Care Coordinator