Provider Demographics
NPI:1548083314
Name:GARCIA, OFELIA MARCELA
Entity type:Individual
Prefix:
First Name:OFELIA
Middle Name:MARCELA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 N SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-1748
Mailing Address - Country:US
Mailing Address - Phone:626-379-6528
Mailing Address - Fax:
Practice Address - Street 1:2010 N SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-1748
Practice Address - Country:US
Practice Address - Phone:626-379-6528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-01
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner