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EDGAR JESUS MEDINA LPT
NPI 1770074106
Licensed Psychiatric Technician in Long Beach, CA

Active since May 21, 2018
4510 E PACIFIC COAST HWY STE 305, LONG BEACH, CA 90804(562) 537-4225 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgar Jesus Medina Lpt NPPES

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

EDGAR JESUS MEDINA LPT (NPI 1770074106) is an individual licensed psychiatric technician in Long Beach, California, licensed in California (32653) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1770074106
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameEDGAR JESUS MEDINACredential: LPT
Location Address4510 E PACIFIC COAST HWY STE 305Long Beach, CA 90804-6960
Mailing Address4510 E Pacific Coast Hwy Ste 305Long Beach, CA 90804-6960 · (562) 537-4225
Phone(562) 537-4225
Sole ProprietorNo
Enumeration DateMay 21, 2018
✔ NPI 1770074106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 32653
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 psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
4510 E PACIFIC COAST HWY STE 305, Long Beach, CA 90804
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Other Providers at the Same Location NPPES 3

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

LAKESHA M KNIGHT RN
Registered Nurse
4510 E PACIFIC COAST HWY STE 305
LONG BEACH, CA 90804
Los Angeles County (562) 317-3050
CHAUNDRA L BELTON
Community Health Worker
4510 E PACIFIC COAST HWY STE 305
LONG BEACH, CA 90804
Los Angeles County (562) 317-3050
PHOEBE YEE YAM
Student in an Organized Health Care Education/Training Program
4510 E PACIFIC COAST HWY STE 305
LONG BEACH, CA 90804
Los Angeles County (562) 317-3050

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 Edgar Medina's NPI number?

The NPI number for Edgar Medina is 1770074106. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Edgar Medina located?

Edgar Medina practices at 4510 E Pacific Coast Hwy Ste 305, Long Beach, CA 90804. The listed phone number is (562) 537-4225.

What is Edgar Medina's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Edgar Medina was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.