Medina, Elva

Medina, Elva is an sole proprietor health care provider with primary practice located at 21520 Pioneer Blvd Suite 110, Hawaiian Gardens CA 90716-2603. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Medina, Elva can be contacted via phone (562) 246-5700.

Contact Information

Primary practice address
21520 Pioneer Blvd Suite 110 Hawaiian Gardens CA 90716-2603
Phone: (562) 246-5700
Fax: (562) 246-5701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1477965556
LBN Legal business name Medina, Elva
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2014
Last updated Jun 16th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477965556 NPPES
California Other 172V00000X COMMUNITY HEALTH WOKER

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