Individual
JORGE ARMANDO MEDINA ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3002 ARMSTRONG ST, SAN DIEGO, CA 92111-5702
(858) 633-4100
Mailing address
1438 MAX AVE, CHULA VISTA, CA 91911-5250
(619) 621-4836
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
03/27/2025
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