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:
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Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447376181 NPPES
California MEDICAID PSY225080

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