Medina, Rosa

Medina, Rosa is an sole proprietor health care provider with primary practice located at 10605 Balboa Blvd , Granada Hills CA 91344-6342. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Medina, Rosa can be contacted via phone (818) 832-2400.

Contact Information

Primary practice address
10605 Balboa Blvd Granada Hills CA 91344-6342
Fax: (818) 832-6197
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW12922 California

Profile Details

NPI number 1699827592
LBN Legal business name Medina, Rosa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 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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