Individual provider · Type 1 NPI

Ivy M. Garcia Hernandez

Student in an Organized Health Care Education/Training Program · Santa Rosa, CA

NPI number 1477478667 Active

Practice location

325 Ridgway Ave
Santa Rosa, CA 95401-4399

Call (707) 890-3770 Map

Mailing address

4415 Sonoma Hwy Ste B
Santa Rosa, CA 95409-4165

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477478667

Ivy M. Garcia Hernandez's National Provider Identifier is 1477478667, issued on Aug 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 13, 2026.