Medrano, Lidia Balderas

Medrano, Lidia Balderas is an individual health care provider with primary practice located at 402 W Broadway Ste 1925 , San Diego CA 92101-8505. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Medrano, Lidia Balderas can be contacted via phone (619) 322-5078.

Contact Information

Primary practice address
402 W Broadway Ste 1925 San Diego CA 92101-8505
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1770155780
LBN Legal business name Medrano, Lidia Balderas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2021
Last updated Jun 13th, 2023 - about last year

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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