Jose Medina, CMT, CLT

NPI 1730903519 · on the registry since 2024 · sole proprietor

Practice

Address: 1501 Bollinger Canyon Rd Ste D
San Ramon, CA 94583
Phone: (510) 691-1477
Organisation at this address: Roya Mahmoodi Dds, Inc
Shiva Mohtasham Dds, Inc
Sean Anderson, D.D.S., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California