Individual
ANDREA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 WILSHIRE BLVD STE 2200, LOS ANGELES, CA 90010-2632
(213) 382-4400
Mailing address
447 N EL MOLINO AVE, PASADENA, CA 91101-1403
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
10/28/2024
Last updated
10/14/2025
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