Medina, Brandi

Medina, Brandi is an individual health care provider with primary practice located at 21600 Oxnard St Ste 1800 , Woodland Hills CA 91367-7807. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Medina, Brandi can be contacted via phone (971) 206-6337.

Contact Information

Primary practice address
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807
Phone: (971) 206-6337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 0000000 Texas

Profile Details

NPI number 1295360782
LBN Legal business name Medina, Brandi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2020
Last updated Mar 5th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295360782 NPPES
Other 808409140860054 AETNA
Other 0000000000 AETNA
MEDICAID 0000000000 AETNA

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