Organization
PROTOTYPES
Active
Organization
PROTOTYPES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA MEDINA SNYDER LCSW (SUPERVISOR II)
(626) 577-2261
Entity
Organization
Contact information
Practice address
2555 E COLORADO BLVD, SUITE 100-101, PASADENA, CA 91107-6622
(626) 577-2261
(626) 577-2543
Mailing address
2555 E COLORADO BLVD, SUITE 100-101, PASADENA, CA 91107-6622
(626) 577-2261
(626) 577-2543
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up