Provider Demographics
NPI:1982307351
Name:GARCIA, ISABEL (LVN 227488)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LVN 227488
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2042 S TOWNE AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-5703
Mailing Address - Country:US
Mailing Address - Phone:909-203-0338
Mailing Address - Fax:
Practice Address - Street 1:1501 W WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4001
Practice Address - Country:US
Practice Address - Phone:323-727-9117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA227488164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse