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NPI Code Detail

MEDICARE: MS. ROCIO MEDINA

MEDICARE:  MS. ROCIO  MEDINA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLMFT91292CA

General Provider Information

NPI Number : 1265713762
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROCIO MEDINA
Provider Business Mailing Address
First Line : 1261 TRAVIS BLVD STE 350
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-4825
Country : US
Telephone Number : 510-495-9948
Fax Number :
Provider Business Practice Location Address
First Line : 1261 TRAVIS BLVD STE 350
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-4825
Country : US
Telephone Number : 707-426-4746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2011
Last Update Date : 11/18/2025

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Directions to “ MS. ROCIO MEDINA ” Practice Location

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