Medina, Susana

Medina, Susana is an individual health care provider with primary practice located at 11705 Deputy Yamamoto Pl , Lynwood CA 90262. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Medina, Susana can be contacted via phone (323) 242-5000.

Contact Information

Primary practice address
11705 Deputy Yamamoto Pl Lynwood CA 90262
Phone: (323) 242-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 89763 California

Profile Details

NPI number 1548639305
LBN Legal business name Medina, Susana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2015
Last updated May 29th, 2019 - about 7 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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