Medina, Jessica
Medina, Jessica is an sole proprietor health care provider with primary practice located at 8550 Balboa Blvd Ste 150, Northridge CA 91325-3562. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Medina, Jessica can be contacted via phone (818) 739-5109.Contact Information
Primary practice address
8550 Balboa Blvd Ste 150
Northridge CA 91325-3562
Phone: (818) 739-5109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1922441286 |
|---|---|
| LBN Legal business name | Medina, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2013 |
| Last updated | May 11th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922441286 | NPPES |
| California | Other | 7708 | MEDI-CAL |
| California | Other | 7667 | MEDI-CAL |
| California | Other | 7368 | MEDI-CAL |
| California | Other | 7184 | MEDI-CAL |
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