Medina, Mayra Patricia

Medina, Mayra Patricia is an sole proprietor health care provider with primary practice located at 3150 E Los Angeles Ave , Simi Valley CA 93065-3940. 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, Mayra Patricia can be contacted via phone (805) 577-0836.

Contact Information

Primary practice address
3150 E Los Angeles Ave Simi Valley CA 93065-3940
Phone: (805) 577-0836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 88514 California
Behavioral Health & Social Service Providers / Social Worker 104100000X 88514 California

Profile Details

NPI number 1275844060
LBN Legal business name Medina, Mayra Patricia
Credentials ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2010
Last updated Nov 7th, 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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