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MYRN LISA MEDLOCK RN, PHN
NPI 1427230630
Case Manager/Care Coordinator in Simi Valley, CA

Active since November 29, 2007
660 E LOS ANGELES AVE STE B2, SIMI VALLEY, CA 93065(805) 578-1111(805) 578-1104 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Myrn Lisa Medlock Rn, Phn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRN LISA MEDLOCK RN, PHN (NPI 1427230630) is an individual case manager/care coordinator provider in Simi Valley, California, licensed in California (410535) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1427230630
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMYRN LISA MEDLOCKCredential: RN, PHN
Location Address660 E LOS ANGELES AVE STE B2Simi Valley, CA 93065-1884
Mailing Address660 E Los Angeles Ave Ste B2Simi Valley, CA 93065-1884
Phone(805) 578-1111
Fax(805) 578-1104
Sole ProprietorNo
Enumeration DateNovember 29, 2007
✔ NPI 1427230630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in CA · 410535
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
660 E LOS ANGELES AVE STE B2, Simi Valley, CA 93065
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE CAMPBELL
Counselor (Mental Health)
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA 93065
Ventura County (805) 522-1845
EMMA PALLONE
Marriage & Family Therapist
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA 93065
Ventura County (805) 217-0168
MICHELLE WONG
Counselor (Addiction (Substance Use Disorder))
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA 93065
Ventura County (805) 522-1845
MARISELA ESQUER YANEZ
Licensed Psychiatric Technician
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA 93065
Ventura County (805) 522-1845
SAMANTHA VILLA
Counselor (Addiction (Substance Use Disorder))
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA 93065
Ventura County (805) 522-1844
WHITNEY RAMIREZ
Licensed Practical Nurse
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA 93065
Ventura County (805) 300-9448
REANNA MICHELE WURST
Counselor (Addiction (Substance Use Disorder))
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA 93065
Ventura County (805) 522-1845
CHIEMEZIEM IKONTE
Counselor (Addiction (Substance Use Disorder))
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA 93065
Ventura County (805) 522-1844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myrn Medlock's NPI number?

The NPI number for Myrn Medlock is 1427230630. It was assigned to this individual provider in the NPPES registry on November 29, 2007.

Where is Myrn Medlock located?

Myrn Medlock practices at 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065. The listed phone number is (805) 578-1111.

What is Myrn Medlock's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Myrn Medlock was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.