Medina, Juan Diego

Medina, Juan Diego is an individual health care provider with primary practice located at 514 Paraiso Ave , Spring Valley CA 91977-6029. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Medina, Juan Diego can be contacted via phone (619) 402-3447.

Contact Information

Primary practice address
514 Paraiso Ave Spring Valley CA 91977-6029
Phone: (619) 402-3447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1972368033
LBN Legal business name Medina, Juan Diego
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2024
Last updated Feb 19th, 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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