Garcia, Ediza
Garcia, Ediza is an individual health care provider with primary practice located at 3250 Wilshire Blvd , Los Angeles CA 90010-1577. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Allopathic & Osteopathic Physicians / Psychiatry, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Garcia, Ediza can be contacted via phone (323) 669-2350.Contact Information
Primary practice address
3250 Wilshire Blvd
Los Angeles CA 90010-1577
Phone: (323) 669-2350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 22508 | California |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY 22508 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | PSY 22508 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 22508 | California |
Profile Details
| NPI number | 1447376181 |
|---|---|
| LBN Legal business name | Garcia, Ediza |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 12th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447376181 | NPPES |
| California | MEDICAID | PSY225080 |
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