Provider Demographics
NPI:1881201960
Name:GARCIA, HOPE (LMT)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12350 DEL AMO BLVD APT 2106
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90715-1723
Mailing Address - Country:US
Mailing Address - Phone:562-646-2103
Mailing Address - Fax:
Practice Address - Street 1:12350 DEL AMO BLVD APT 2106
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90715-1723
Practice Address - Country:US
Practice Address - Phone:562-646-2103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79395225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist