Jaqueline Medina

NPI 1104624659 · on the registry since 2025

Practice

Address: 17011 Beach Blvd Ste 900
Huntington Beach, CA 92647
Phone: (714) 602-4820
Organisation at this address: Western Youth Services
Recovery Boulevard Llc
Uplift Behavior Services Inc
Chase Home Health Incorporated
Milestones Behavioral Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 96

Registry record

Primary taxonomy: 106S00000X
106S00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California