Individual
JUSTIN GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 218-1868
Mailing address
11549 SEE DR, WHITTIER, CA 90606-1932
(626) 862-4857
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-NDVXBC
CA
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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