Medina, Ivan

Medina, Ivan is an individual health care provider with primary practice located at 6001 Clara St , Bell Gardens CA 90201-4723. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Medina, Ivan can be contacted via phone (562) 806-5000.

Contact Information

Primary practice address
6001 Clara St Bell Gardens CA 90201-4723
Phone: (562) 806-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1881327146
LBN Legal business name Medina, Ivan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2022
Last updated Jun 24th, 2024 - about last year

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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