Medina, Leslie
Medina, Leslie is an sole proprietor health care provider with primary practice located at 333 N Lantana St Ste 259 , Camarillo CA 93010-9008. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Peer Specialist is her primary health care specialty. Medina, Leslie can be contacted via phone (805) 914-9057.Contact Information
Primary practice address
333 N Lantana St Ste 259
Camarillo CA 93010-9008
Phone: (805) 914-9057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | ||
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1952121667 |
|---|---|
| LBN Legal business name | Medina, Leslie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2024 |
| Last updated | Jul 18th, 2025 - about last year |
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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