| NPI | 1427927763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENRRY G MEDINILLA Pmhnp/ Owner 831-325-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |