Katherine Ivonne Medina, is a
Social Worker - Clinical based in Huntington Park, California. Katherine Ivonne Medina is licensed to practice in California (license number 124506) and her current practice location is
2958 E Florence Ave, Huntington Park, California. She can be reached at her office (for appointments etc.) via phone at
(626) 743-2981.
NPI number for Katherine Ivonne Medina is 1770064313 and her current mailing address is 1231 E Dyer Rd Ste 135, Santa Ana, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770064313.
Healthcare Provider's Profile
| Full Name | Katherine Ivonne Medina |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2958 E Florence Ave, Huntington Park, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770064313
- Provider Enumeration Date: 08/22/2018
- Last Update Date: 07/25/2024
Medical Identifiers
Medical identifiers for Katherine Ivonne Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770064313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 124506 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Ivonne Medina is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Katherine Ivonne Medina, 1231 E Dyer Rd Ste 135, Santa Ana, CA 92705-5643 Ph: (714) 944-7900 | Katherine Ivonne Medina, 2958 E Florence Ave, Huntington Park, CA 90255-5826 Ph: (626) 743-2981 |
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