Medina, Jose Ernesto

Medina, Jose Ernesto is an individual health care provider with primary practice located at 3117 Wilson Rd , Bakersfield CA 93304-5319. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Medina, Jose Ernesto can be contacted via phone (661) 324-4756.

Contact Information

Primary practice address
3117 Wilson Rd Bakersfield CA 93304-5319
Phone: (661) 324-4756
Fax: (661) 617-2099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW73109 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 87980 California

Profile Details

NPI number 1841643954
LBN Legal business name Medina, Jose Ernesto
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Jun 15th, 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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