RICHARD DESMUND MEDINA

SANTA MONICA, CA
NPI1811769979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-10-23
Last Update Date2023-10-23
Business Address
RICHARD DESMUND MEDINA
907 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
Mailing Address
RICHARD DESMUND MEDINA
907 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200