Medina Horne, Ingrid
Medina Horne, Ingrid is an sole proprietor health care provider with primary practice located at 302 W 5Th St Ste 308 , San Pedro CA 90731-2750. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Medina Horne, Ingrid can be contacted via phone (424) 570-5955.Contact Information
Primary practice address
302 W 5Th St Ste 308
San Pedro CA 90731-2750
Phone: (424) 570-5955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | MPSSYKOTHE | California |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1265265136 |
|---|---|
| LBN Legal business name | Medina Horne, Ingrid |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2024 |
| Last updated | Aug 24th, 2024 - 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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