Medel, Jesse
Medel, Jesse is an individual health care provider with primary practice located at 655 Maple Ave , Los Angeles CA 90014-2211. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is his primary health care specialty. Medel, Jesse can be contacted via phone (310) 848-9194.Contact Information
Primary practice address
655 Maple Ave
Los Angeles CA 90014-2211
Phone: (310) 848-9194
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Other Service Providers / Peer Specialist | 175T00000X | MPSS-OTMQFG | California |
| Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X |
Profile Details
| NPI number | 1215744164 |
|---|---|
| LBN Legal business name | Medel, Jesse |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2024 |
| Last updated | Apr 16th, 2026 - about 6 months 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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