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

Individual provider Occupational Therapist · NPI 1083732283

Mr. Victor Medina, MAOTR is an Occupational Therapist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

4655 Ruffner St Ste 270
San Diego, CA 92111-2275
Phone: (180) 078-7678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6030 (CA)

Record details

NPI number1083732283
Entity typeIndividual (Type 1)
GenderMale
Credentials MAOTR
Sole proprietorYes
NPI enumeratedMarch 26, 2007
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021

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