Sandra Angelica Medina in Pasadena - Licensed Psychiatric Technician
Sandra Angelica Medina - NPI 1871795823
Sandra Angelica Medina is a Licensed Psychiatric Technician in Pasadena, California. Sandra Angelica Medina practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Sandra Angelica Medina is 1871795823. The last update date is 2019-02-08.
Sandra Angelica Medina's current location address is 2900 E Del Mar Blvd, Pasadena, California. You can contact this provider via phone number 6267959901 and fax number 6263562503. The mailing address for Sandra Angelica Medina is 2900 E Del Mar Blvd, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Angelica Medina |
|---|---|
| Address | 2900 E Del Mar Blvd, Pasadena, California |
| Phone Number | 6267959901 |
| Fax Number | 6263562503 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1871795823 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2019-02-08 |
Provider Mailing Address Detail
| Address | 2900 E Del Mar Blvd |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911074375 |
| Phone Number | 6267959901 |
| Fax Number | 6263562503 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 40294 |
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Definition: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psych |
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What is the Sandra Angelica Medina's unique identification number?
The Sandra Angelica Medina has been assigned the NPI (National Provider Identifier) Number 1871795823 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Sandra Angelica Medina?
The Sandra Angelica Medina is situated at 2900 E Del Mar Blvd, in the city of Pasadena, state of CA, with the zip code 911074375.
What is Sandra Angelica Medina's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sandra Angelica Medina is Licensed Psychiatric Technician, and the taxonomy code that categorizes this field of expertise is 167G00000X.
On what date did the Sandra Angelica Medina receive its 1871795823 assignment from the Centers for Medicare & Medicaid Services?
The Sandra Angelica Medina was assigned its 1871795823 by the Centers for Medicare & Medicaid Services on 2007-06-01.
When was the information related to Sandra Angelica Medina most recently updated or refreshed?
The details pertaining to the Sandra Angelica Medina, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-02-08.
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