Provider Demographics
NPI:1003544164
Name:GARCIA MUNOZ, ALDO DANIEL (PROGRAM SUPERVISOR)
Entity type:Individual
Prefix:MR
First Name:ALDO
Middle Name:DANIEL
Last Name:GARCIA MUNOZ
Suffix:
Gender:M
Credentials:PROGRAM SUPERVISOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 SAN FELIPE RD STE 12
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-3035
Mailing Address - Country:US
Mailing Address - Phone:408-314-0300
Mailing Address - Fax:
Practice Address - Street 1:321 SAN FELIPE RD STE 12
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-3035
Practice Address - Country:US
Practice Address - Phone:408-314-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA372600000X
171M00000X, 172V00000X, 106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician