Individual provider · Type 1 NPI

Breanna Nicole Medina

Student in an Organized Health Care Education/Training Program · Tulare, CA

NPI number 1750199782 Active

Practice location

327 S K St
Tulare, CA 93274-5416

Mailing address

612 S Myrtle Ave Ste 100
Monrovia, CA 91016-3406

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Day Training/Habilitation Specialist 373H00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750199782

Breanna Nicole Medina's National Provider Identifier is 1750199782, issued on Dec 23, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulare, CA. The record was last updated on Mar 10, 2026.