Medina Garcia, Juan

Medina Garcia, Juan is an individual health care provider with primary practice located at 1111 W Tokay St Ste Ac , Lodi CA 95240-3965. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Behavior Technician. Other Service Providers / Community Health Worker is his primary health care specialty. Medina Garcia, Juan can be contacted via phone (925) 999-4119.

Contact Information

Primary practice address
1111 W Tokay St Ste Ac Lodi CA 95240-3965
Phone: (925) 999-4119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1538745849
LBN Legal business name Medina Garcia, Juan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2021
Last updated Jan 9th, 2024 - about 10 months 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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