Carlo Medina M.D.

NPI 1093786444 - Internal Medicine - 207R00000X

NPI Details
NPI 1093786444
Gender Male
Enumeration Date 02/01/2006
Last Updated 03/30/2015
Entity Type Individual
Active Over 12 years ago
Practice Location
SUITE 1000
LOS ANGELES CA, 90033-5310, US
Phone (323) 226-6571
Fax (323) 226-2718
Business Location
PO BOX 31309
LOS ANGELES CA, 90031-0309, US
Phone (323) 226-6571
Fax (323) 226-2718
Taxonomy Code 207R00000X
License State New York
License Number 219238
Remove 1093786444 NPI Number

According to our database, Carlo Medina M.D. NPI is 1093786444, taxonomy code is 207R00000X and license number is 219238, license state is located at New York. Carlo Medina M.D. physically located at 1520 San Pablo St, Los Angeles CA, 90033-5310. NPI Number Carlo Medina M.D. has the Individual type.

1093786444 NPI number is provided on an as is basis without warranty of any kind. 1093786444 is maintained by the National Plan & Provider Enumeration System. The contents of Carlo Medina M.D. are for informational purposes only.