Individual
MR. JOHN A MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12440 IMPERIAL HWY, 116, NORWALK, CA 90650-3177
(562) 651-5060
Mailing address
7790 MARIA DR, RIVERSIDE, CA 92509-7058
(800) 854-7771
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
10/19/2006
Last updated
09/16/2025
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