Individual provider · Type 1 NPI

Andrew Shou Medina

Attendant Care Provider · La Jolla, CA

NPI number 1033084025 Active

Practice location

5506 Candlelight Dr
La Jolla, CA 92037-7711

Mailing address

4890 Sunroad Centrum Ln Apt 430
San Diego, CA 92123-2057

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1033084025

Andrew Shou Medina's National Provider Identifier is 1033084025, issued on Oct 8, 2025. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in La Jolla, CA. The record was last updated on Oct 8, 2025.