ROGER MEDINA
NPI 1760841795
Counselor - Mental Health in Santa Ana, CA
Active since February 18, 2016
About Roger Medina NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROGER MEDINA (NPI 1760841795) is an individual mental health provider in Santa Ana, California and active in the NPI registry since February 2016.
NPPES Registry Identity
NPI1760841795
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameROGER MEDINA
Location Address1202 W CIVIC CENTER DRSanta Ana, CA 92703-2252
Mailing Address1202 W Civic Center DrSanta Ana, CA 92703-2252 · (714) 245-0045
Phone(714) 245-0045
Sole ProprietorNo
Enumeration DateFebruary 18, 2016
✔ NPI 1760841795 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1202 W CIVIC CENTER DR, Santa Ana, CA 92703
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760841795, enumerated as an "individual" on February 18, 2016.
The provider is located at 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 and the phone number is (714) 245-0045.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
