Medina, Jennifer

Medina, Jennifer is an sole proprietor health care provider with primary practice located at 3680 E Imperial Hwy Ste 220 , Lynwood CA 90262-2663. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Medina, Jennifer can be contacted via phone (323) 769-7163.

Contact Information

Primary practice address
3680 E Imperial Hwy Ste 220 Lynwood CA 90262-2663
Phone: (323) 769-7163
Fax: (310) 886-5326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 85616 California
Behavioral Health & Social Service Providers / Social Worker 104100000X 34113 California
Behavioral Health & Social Service Providers / Social Worker 104100000X 85616 California

Profile Details

NPI number 1356685689
LBN Legal business name Medina, Jennifer
Credentials ASW, MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2012
Last updated Jul 3rd, 2023 - about 2 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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