Provider Demographics
NPI:1841275328
Name:GARCIA, MONICA A (NP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:A
Last Name:GARCIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 GILMAN DRIVE; MC0039
Mailing Address - Street 2:STUDENT HEALTH SERVICES
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0039
Mailing Address - Country:US
Mailing Address - Phone:858-246-0502
Mailing Address - Fax:858-534-6048
Practice Address - Street 1:9500 GILMAN DR # MC0039
Practice Address - Street 2:STUDENT HEALTH SERVICES
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0039
Practice Address - Country:US
Practice Address - Phone:858-246-0502
Practice Address - Fax:858-534-6048
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFNP8571363L00000X
CARN336064363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
S63656Medicare UPIN
CAWNP8571CMedicare ID - Type UnspecifiedPPIN