Individual
JESSE MEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(310) 848-9194
Mailing address
2381 YOSEMITE DR, LOS ANGELES, CA 90041-2611
(213) 713-8781
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
MPSS-OTMQFG
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
04/16/2026
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