Medina, Carlo Dominic Floreza
Medina, Carlo Dominic Floreza is an individual health care provider with primary practice located at 301 Victoria St , Costa Mesa CA 92627-1995. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Medina, Carlo Dominic Floreza can be contacted via phone (949) 574-3364.Contact Information
Primary practice address
301 Victoria St
Costa Mesa CA 92627-1995
Phone: (949) 574-3364
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ASW81799 | California |
Profile Details
| NPI number | 1619096351 |
|---|---|
| LBN Legal business name | Medina, Carlo Dominic Floreza |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Mar 13th, 2020 - about 4 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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