Provider Demographics
NPI:1881208759
Name:GARCIA, MONICA ESMERALDA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ESMERALDA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11803 RAYMOND AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90044-1117
Mailing Address - Country:US
Mailing Address - Phone:323-516-9823
Mailing Address - Fax:
Practice Address - Street 1:733 HINDRY AVE STE SUITE309
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-3030
Practice Address - Country:US
Practice Address - Phone:310-348-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program