Medina, Kailani

Medina, Kailani is an individual health care provider with primary practice located at 20101 Sw Birch St Ste 240 , Newport Beach CA 92660-1769. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Medina, Kailani can be contacted via phone (619) 384-0860.

Contact Information

Primary practice address
20101 Sw Birch St Ste 240 Newport Beach CA 92660-1769
Phone: (619) 384-0860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 7066 California

Profile Details

NPI number 1346853512
LBN Legal business name Medina, Kailani
Credentials APCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2020
Last updated Aug 27th, 2020 - about 4 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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