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Edgar Jesus Medina, LPT
Licensed Psychiatric Technician in Long Beach, California
NPI 1770074106

Edgar Jesus Medina is a Licensed Psychiatric Technician based in Long Beach, CA. Edgar Jesus Medina practices in Long Beach, CA and has the professional credentials of LPT. The NPI Number for Edgar Jesus Medina is 1770074106 and holds a License No. 32653 (California).

The current practice location address for Edgar Jesus Medina is 4510 E Pacific Coast Hwy Ste 305, Long Beach, CA and can be reached out via phone at 562-537-4225.

Location: 4510 E Pacific Coast Hwy Ste 305, Long Beach, CA, 90804-6960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770074106
Provider Name
Edgar Jesus Medina
Credential
LPT
Provider Entity Type
Individual
Gender
Male
Address
4510 E Pacific Coast Hwy Ste 305, Long Beach, CA, 90804-6960
Phone Number
562-537-4225
Fax Number
Provider Enumeration Date
05/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4510 E Pacific Coast Hwy Ste 305
City
Long Beach
State
California
Zip
90804-6960
Phone Number
562-537-4225
Fax Number
person
Provider Business Mailing Address Details
Address
4510 E Pacific Coast Hwy Ste 305
City
Long Beach
State
California
Zip
90804-6960
Phone Number
562-537-4225
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
32653 (California)
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.
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