Provider Demographics
NPI:1720760853
Name:GARCIA, VALERIA
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:
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 1:30638 SAN MARTINEZ RD
Mailing Address - Street 2:
Mailing Address - City:VAL VERDE
Mailing Address - State:CA
Mailing Address - Zip Code:91384-2471
Mailing Address - Country:US
Mailing Address - Phone:661-544-6493
Mailing Address - Fax:
Practice Address - Street 1:1050 E PALMDALE BLVD STE PALMDALE
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4750
Practice Address - Country:US
Practice Address - Phone:661-208-4699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1308521041C0700X
CAMPSS-JVRLYW175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical