Provider Demographics
NPI:1740813963
Name:GARLAND, JOSEPH HENRY III (MBA)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:HENRY
Last Name:GARLAND
Suffix:III
Gender:M
Credentials:MBA
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 1314
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-1314
Mailing Address - Country:US
Mailing Address - Phone:630-220-5308
Mailing Address - Fax:
Practice Address - Street 1:400 W REDONDO BEACH BLVD STE C
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-2149
Practice Address - Country:US
Practice Address - Phone:888-624-4462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-17
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health