Individual
EVA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
864 E SANTA CLARA ST, VENTURA, CA 93001-2939
(818) 272-7619
Mailing address
864 E SANTA CLARA ST, VENTURA, CA 93001-2939
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-ORJNSC
CA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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