Provider Demographics
NPI:1477802171
Name:GARCIA-CAMBRON, RICARDO (MS)
Entity type:Individual
Prefix:MR
First Name:RICARDO
Middle Name:
Last Name:GARCIA-CAMBRON
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-5908
Mailing Address - Country:US
Mailing Address - Phone:209-381-6600
Mailing Address - Fax:
Practice Address - Street 1:632 W 13TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95341-5908
Practice Address - Country:US
Practice Address - Phone:209-381-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT132596106H00000X, 106H00000X
CAIMF98796101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health