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

Miss. Yessenia Socorro Medina, RDA

Individual provider Dental Assistant · NPI 1619245685

Miss. Yessenia Socorro Medina, RDA is a Dental Assistant in Ontario, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

104 N Robin Privado
Ontario, CA 91764
Phone: (909) 455-3182
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 67920 (CA)

Record details

NPI number1619245685
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDA
Sole proprietorNo
NPI enumeratedDecember 6, 2011
Last updated in NPPESDecember 6, 2011

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