Omri Elioenai Lopez-Medina
Social Worker, Clinical in Redding, CA. Individual provider (NPI-1).
NPI number1982114856
StatusActive
Last updated in NPPESJul 7, 2026
Details
- NPI
- 1982114856
- Entity type
- Individual (NPI-1)
- Name
- Omri Elioenai Lopez-Medina
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2017
- Certification date
- Jul 7, 2026
- Last updated
- Jul 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 138900 | CA | Yes |
Practice location
1398 Hermitage CtRedding, CA 96002-5058
Phone 323-398-9626
Mailing address
1398 Hermitage CtRedding, CA 96002-5058
Phone 323-398-9626
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