Individual provider · Type 1 NPI

Phillip Medina

Day Training/Habilitation Specialist · Los Angeles, CA

NPI number 1366166647 Active

Practice location

510 S Vermont Ave
Los Angeles, CA 90020-1992

Call (213) 760-2333 Map

Other practice locations

  • 840 N Avenue 66, Los Angeles, CA 90042 · (626) 395-7100

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1366166647

Phillip Medina's National Provider Identifier is 1366166647, issued on Sep 29, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 9, 2025.