Medina, Aida Marlene

Medina, Aida Marlene is an sole proprietor health care provider with primary practice located at 2550 E Foothill Blvd , Pasadena CA 91107-3406. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor is her primary health care specialty. Medina, Aida Marlene can be contacted via phone (818) 244-7257.

Contact Information

Primary practice address
2550 E Foothill Blvd Pasadena CA 91107-3406
Phone: (818) 244-7257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFTI 53319 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1871610311
LBN Legal business name Medina, Aida Marlene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Feb 6th, 2014 - about 10 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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