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Individual
SAMUEL MEDRANO
Active
Individual
SAMUEL MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G68235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G682350
—
CA
Enumeration date
05/01/2006
Last updated
05/12/2016
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