# MEDINA PEDIATRICS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013190826
- **Authorized official:** ELENEA M MEDINA (MD)
- **Authorized official phone:** (949) 364-3532

## Contact information

- **Practice address:** 27800 MEDICAL CENTER RD, SUITE 204, MISSION VIEJO, CA 92691-6410
- **Practice address phone:** (949) 364-3532
- **Mailing address:** 27800 MEDICAL CENTER RD, SUITE 204, MISSION VIEJO, CA 92691-6410
- **Mailing address phone:** (949) 364-3532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | A83978 | CA | Yes |

## Other

- **Enumeration date:** 12/14/2007
- **Last updated:** 12/14/2007