Medina-Colon, Edgardo
Medina-Colon, Edgardo is an sole proprietor health care provider with primary practice located at 1900 Grace Ave Apt 23 , Los Angeles CA 90068-3831. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Medina-Colon, Edgardo can be contacted via phone (310) 993-3821.Contact Information
Primary practice address
1900 Grace Ave Apt 23
Los Angeles CA 90068-3831
Phone: (310) 993-3821
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | California | |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 114327 | California |
Profile Details
| NPI number | 1255998696 |
|---|---|
| LBN Legal business name | Medina-Colon, Edgardo |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2019 |
| Last updated | Apr 26th, 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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