Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Samantha Medina

Individual provider Mental Health Counselor · NPI 1063994788

Kimberly Samantha Medina is a Mental Health Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1200 Wilshire Blvd Ste 300
Los Angeles, CA 90017-1931
Phone: (213) 481-7464
Fax: (213) 481-7147
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ASW90543 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1063994788
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2018
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Other providers in Los Angeles