Individual
JASMIN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 CRENSHAW BLVD STE E100, TORRANCE, CA 90503-1728
(310) 787-1500
Mailing address
370 CRENSHAW BLVD STE E100, TORRANCE, CA 90503-1728
(310) 787-1500
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
01/26/2024
Last updated
09/11/2025
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