Garcia, Prairie

Garcia, Prairie is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Garcia, Prairie can be contacted via phone (831) 454-4170.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 454-4170
Fax: (831) 454-4663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1497972038
LBN Legal business name Garcia, Prairie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jun 8th, 2023 - about 3 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 1497972038 NPPES
California Other FHC70042F COUNTY OF SANTA CRUZ MEDI-CAL GROUP PTAN#
California Other FHC70044F COUNTY OF SANTA CRUZ MEDI-CAL GROUP PTAN#

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