Destiny Angelina Garcia

Individual provider Active NPI Case Manager/Care Coordinator · Taft, CA

NPI 1831721976 · NPPES record last updated Feb 6, 2020

Key facts

NPI
1831721976
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
171M0000X (CA)
Practice address
1021 4TH St Ste B
Taft, CA 93268-2433
Phone
(661) 745-0025
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
171M0000XCAMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 171M0000X CA Yes

Addresses

Primary practice location

1021 4TH St Ste B
Taft, CA 93268-2433

Mailing address

2935 Kimberlina Rd
Wasco, CA 93280
Phone (661) 758-4029

Other providers in Taft, CA

All providers in Taft, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.