Individual provider · Type 1 NPI

Eric Medina

Addiction (Substance Use Disorder) Counselor · Gardena, CA

NPI number 1093029241 Active

Practice location

15519 Crenshaw Blvd
Gardena, CA 90249-4525

Call (310) 679-9124 Map

Fax (310) 679-9034

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093029241

Eric Medina's National Provider Identifier is 1093029241, issued on Jul 29, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gardena, CA. The record was last updated on Aug 21, 2015.