JORGE ARMANDO MEDINA ONTIVEROS

SAN DIEGO, CA
NPI1386490423
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-04-29
Last Update Date2024-04-29
Business Address
JORGE ARMANDO MEDINA ONTIVEROS
3002 ARMSTRONG ST
SAN DIEGO, CA 92111-5702
Phone number: 858-633-4100
Mailing Address
JORGE ARMANDO MEDINA ONTIVEROS
1438 MAX AVE
CHULA VISTA, CA 91911-5250
Phone number: 619-621-4836