Provider Demographics
NPI:1740730423
Name:GARCIA, KARLA MARIA (LVN)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:MARIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10153 SAMOA AVE
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2316
Mailing Address - Country:US
Mailing Address - Phone:213-259-5013
Mailing Address - Fax:888-770-6489
Practice Address - Street 1:10153 SAMOA AVE
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2316
Practice Address - Country:US
Practice Address - Phone:213-259-5013
Practice Address - Fax:888-770-6489
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA266442164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse