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Organization
MEDINA PEDIATRICS, INC.
Active
Organization
MEDINA PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENEA M MEDINA (MD)
(949) 364-3532
Entity
Organization
Contact information
Practice address
27800 MEDICAL CENTER RD, SUITE 204, MISSION VIEJO, CA 92691-6410
(949) 364-3532
Mailing address
27800 MEDICAL CENTER RD, SUITE 204, MISSION VIEJO, CA 92691-6410
(949) 364-3532
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A83978
CA
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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